Article
Hemolysis and hyperhomocysteinemia caused by cobalamin deficiency: three case reports and review of the literature.
Journal of hematology & oncology - 18 Dec 2008
Acharya Utkarsh, Gau Jen-Tzer, Horvath William, Ventura Paolo, Hsueh Chung-Tsen, Carlsen Wayne
Abstract excerpt
Concurrent hemolysis in patients with vitamin B12 deficiency is a well-recognized phenomenon and has been attributed to intramedullary destruction of erythrocytes (ineffective erythropoiesis). Recent studies revealed that homocysteine increased the risk of hemolysis in vitamin B12 deficiency in vitro and there is a high frequency (30%) of vitamin B12 deficiency in asymptomatic patients with homozygous methylene...
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