MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY

An article reflects modern concepts of the etiology of vitamin B12 deficiency including medication-induced conditions. Particular attention is paid to diagnostic algorithm in case of overt and latent forms of deficit. As the method of choice for the diagnosis of vitamin B12 deficiency it is recommen...

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Main Authors: A. L. Krasnovskiy, S. P. Grigor’iev, R. M. Alyokhina, I. S. Ezhova, I. V. Zolkina, E. O. Loshkareva
Format: Article
Language:Russian
Published: ABV-press 2017-01-01
Series:Klinicist
Subjects:
Online Access:https://klinitsist.abvpress.ru/Klin/article/view/272
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author A. L. Krasnovskiy
S. P. Grigor’iev
R. M. Alyokhina
I. S. Ezhova
I. V. Zolkina
E. O. Loshkareva
author_facet A. L. Krasnovskiy
S. P. Grigor’iev
R. M. Alyokhina
I. S. Ezhova
I. V. Zolkina
E. O. Loshkareva
author_sort A. L. Krasnovskiy
collection DOAJ
description An article reflects modern concepts of the etiology of vitamin B12 deficiency including medication-induced conditions. Particular attention is paid to diagnostic algorithm in case of overt and latent forms of deficit. As the method of choice for the diagnosis of vitamin B12 deficiency it is recommended to determine the level of holotranscobalamin and use additional methods for detecting metabolic deficiency of vitamin B12 – to study the levels of homocysteine and methylmalonic acid. Diagnostic algorithms for patients with clinical suspicion of vitamin B12 deficiency and the presence of subclinical deficiency. We reviewed the possibility of vitamin B12 oral preparations to correct low levels of cobalamin in asymptomatic patients, as well as maintenance therapy in patients with clinical signs of vitamin B12 deficiency.
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spelling doaj.art-8817d8845356445fad1aaa830ad4db9c2023-03-30T20:14:09ZrusABV-pressKlinicist1818-83382017-01-01103152510.17650/1818-8338-2016-10-3-15-25248MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCYA. L. Krasnovskiy0S. P. Grigor’iev1R. M. Alyokhina2I. S. Ezhova3I. V. Zolkina4E. O. Loshkareva5State Budgetary Educational Institution N.I. Pirogov Russian National Research Medical University of the Ministry of Health of RussiaState Budgetary Educational Institution N.I. Pirogov Russian National Research Medical University of the Ministry of Health of RussiaState Budgetary Educational Institution N.I. Pirogov Russian National Research Medical University of the Ministry of Health of RussiaState Budgetary Educational Institution N.I. Pirogov Russian National Research Medical University of the Ministry of Health of RussiaState Budgetary Educational Institution N.I. Pirogov Russian National Research Medical University of the Ministry of Health of RussiaState Budgetary Educational Institution N.I. Pirogov Russian National Research Medical University of the Ministry of Health of RussiaAn article reflects modern concepts of the etiology of vitamin B12 deficiency including medication-induced conditions. Particular attention is paid to diagnostic algorithm in case of overt and latent forms of deficit. As the method of choice for the diagnosis of vitamin B12 deficiency it is recommended to determine the level of holotranscobalamin and use additional methods for detecting metabolic deficiency of vitamin B12 – to study the levels of homocysteine and methylmalonic acid. Diagnostic algorithms for patients with clinical suspicion of vitamin B12 deficiency and the presence of subclinical deficiency. We reviewed the possibility of vitamin B12 oral preparations to correct low levels of cobalamin in asymptomatic patients, as well as maintenance therapy in patients with clinical signs of vitamin B12 deficiency.https://klinitsist.abvpress.ru/Klin/article/view/272vitamin b12 deficiencyetiology of vitamin b12 deficiencyb12-deficiency anemiaatrophic autoimmune gastritismacrocytic anemiaintrinsic factordiagnosis of latent forms of vitamin b12 deficiencyholotranscobalaminhomocysteinemethylmalonic acidalgorithms for the management of patients with vitamin b12 deficiencyoral vitamin b12 formulationshydroxocobalamincyanocobalaminpernicious anema
spellingShingle A. L. Krasnovskiy
S. P. Grigor’iev
R. M. Alyokhina
I. S. Ezhova
I. V. Zolkina
E. O. Loshkareva
MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY
Klinicist
vitamin b12 deficiency
etiology of vitamin b12 deficiency
b12-deficiency anemia
atrophic autoimmune gastritis
macrocytic anemia
intrinsic factor
diagnosis of latent forms of vitamin b12 deficiency
holotranscobalamin
homocysteine
methylmalonic acid
algorithms for the management of patients with vitamin b12 deficiency
oral vitamin b12 formulations
hydroxocobalamin
cyanocobalamin
pernicious anema
title MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY
title_full MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY
title_fullStr MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY
title_full_unstemmed MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY
title_short MODERN DIAGNOSTIC AND TREATMENT OF VITAMIN В12 DEFICIENCY
title_sort modern diagnostic and treatment of vitamin в12 deficiency
topic vitamin b12 deficiency
etiology of vitamin b12 deficiency
b12-deficiency anemia
atrophic autoimmune gastritis
macrocytic anemia
intrinsic factor
diagnosis of latent forms of vitamin b12 deficiency
holotranscobalamin
homocysteine
methylmalonic acid
algorithms for the management of patients with vitamin b12 deficiency
oral vitamin b12 formulations
hydroxocobalamin
cyanocobalamin
pernicious anema
url https://klinitsist.abvpress.ru/Klin/article/view/272
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AT isezhova moderndiagnosticandtreatmentofvitaminv12deficiency
AT ivzolkina moderndiagnosticandtreatmentofvitaminv12deficiency
AT eoloshkareva moderndiagnosticandtreatmentofvitaminv12deficiency