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An Uncommon Cause of Peripheral Neuropathy
Naushira Pandya, MD;
Mark Byler, MD;
Scott Armistead, MD
Arch Fam Med. 1998;7:85-87.
The following case report is of a middle aged man with a progressive neurologic disability who was brought to our emergency department. Caregivers could no longer manage him once he lost the ability to ambulate and became incontinent. At that time his neurologic and hematologic parameters were fairly typical of cobalamin deficiency. We are reporting this case to emphasize that cobalamin deficiency is not always due to pernicious anemia in the elderly or the malnourished alcoholic. Deficiency from uncommon causes can manifest at any age and result in severe morbidity.
From the Departments of Internal Medicine and Geriatrics, University of Missouri–Kansas City School of Medicine, and Department of Community and Family Medicine, Truman Medical Center-East, Kansas City, Mo (Drs Pandya and Byler); and Tri-County Medical Corp, Richmond, Va (Dr Armistead).
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