Symptoms/situations when vitamin B12 deficiency should be suspected

Neurological symptoms:
    Numbness in hands and feet
    Ataxia
    Impaired reflexes
    Gait disturbances
    Impaired vibration perception
    Positive Romberg´s test
    Babinsky´s sign
    Lhermitte´s sign
    Optic atrophy

Psychiatric symptoms:
    Concentration difficulties
    Confusion
    Irritation
    Impaired memory
    Dementia
    Irritability
    Depression
    Personality changes
    Psychosis

Chronic fatigue syndrome/fibromyalgia

Symptoms of anaemia:
    Tiredness
    Apathy
    Effort dyspnoea

Other symptoms
    Aversion to meat
    Impotence
    Faecal/urinary incontinence
    Infertility

Patients complaining of:
    Vertigo
    Asthenia
    Loss of appetite
    Loss of weight
    Impaired memory

After resection of the stomach or ileum

Gastrointestinal disease:
    Atrophy of the mucosa
    Gluten-induced enteropathy
    Crohn´s disease

Inadequate nutrition

Smoking

High alcohol consumption

Vegans/vegetarians

Autoimmune diseases:
    Diabetes
    Rheumatoid arthritis
    Hypothyroidism

Previous pregnancy complications

Anaesthesia with nitrous oxide

Medication with drugs affecting B12

Vitiligo

Hair loss

Marfanoid appearance

Adverse reactions to anaesthesia / surgery

News

Coming Soon !  The full video recording of the Euromedlab 2007 Active B12 workshop will be available in the next few weeks, register for your copy.

 

Live CME Web Conference on vitamin B12 deficiency, Prof. Ralph Green, Dec 13th 2007, register now.

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Meetings

8-11 December, 2007
American Society of Hematology, Atlanta, booth 544
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