Literature DB >> 23839610

What should I know before ordering a bone marrow aspiration/biopsy in patients with vitamin B12 deficiency?

Jaskirat Randhawa1, Sarah L Ondrejka, Sebouh Setrakian, Harris Taylor.   

Abstract

Vitamin B12 deficiency is a well recognised cause of macrocytic anaemia and bone marrow failure. Bone marrow aspiration/biopsy is infrequently indicated for the diagnosis in this setting. However, if a bone marrow aspiration/biopsy is performed, it is important to recognise that it may show dysplastic changes mimicking myelodysplastic syndrome (MDS) or acute leukaemia. We report a case of a 66-year-old non-vegetarian man presenting with generalised weakness for 1 month and misdiagnosed on bone marrow biopsy as MDS. However, laboratory investigations revealed severe deficiency of vitamin B12. Four weeks after starting vitamin B12 replacement the patient's complete blood counts reverted to normal.

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Year:  2013        PMID: 23839610      PMCID: PMC3736209          DOI: 10.1136/bcr-2013-010200

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  8 in total

1.  Images in clinical medicine. A medical mystery--a 71-year-old man with pancytopenia.

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Journal:  N Engl J Med       Date:  2008-10-30       Impact factor: 91.245

2.  Severe pernicious anemia with distinct cytogenetic and flow cytometric aberrations mimicking myelodysplastic syndrome.

Authors:  Stefani Parmentier; Joern Meinel; Uta Oelschlaegel; Brigitte Mohr; Gerhard Ehninger; Markus Schaich; Uwe Platzbecker
Journal:  Ann Hematol       Date:  2012-05-11       Impact factor: 3.673

Review 3.  Clinical practice. Vitamin B12 deficiency.

Authors:  Sally P Stabler
Journal:  N Engl J Med       Date:  2013-01-10       Impact factor: 91.245

Review 4.  Dysplasia has A differential diagnosis: distinguishing genuine myelodysplastic syndromes (MDS) from mimics, imitators, copycats and impostors.

Authors:  David P Steensma
Journal:  Curr Hematol Malig Rep       Date:  2012-12       Impact factor: 3.952

5.  Vitamin B(12)-responsive pancytopenia mimicking myelodysplastic syndrome.

Authors:  Myungshin Kim; Sung-Eun Lee; Joonhong Park; Jihyang Lim; Byung-Sik Cho; Yoo-Jin Kim; Hee-Je Kim; Seok Lee; Chang-Ki Min; Yonggoo Kim; Seok-Goo Cho
Journal:  Acta Haematol       Date:  2011-01-20       Impact factor: 2.195

6.  Pancytopenia with chromosomal fragility: vitamin B12 deficiency.

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Journal:  J Pediatr Hematol Oncol       Date:  1996-05       Impact factor: 1.289

7.  Transient 7q- in association with megaloblastic anemia due to dietary folate and vitamin B12 deficiency.

Authors:  M R Wollman; L Penchansky; S Shekhter-Levin
Journal:  J Pediatr Hematol Oncol       Date:  1996-05       Impact factor: 1.289

Review 8.  The 2008 revision of the World Health Organization (WHO) classification of myeloid neoplasms and acute leukemia: rationale and important changes.

Authors:  James W Vardiman; Jüergen Thiele; Daniel A Arber; Richard D Brunning; Michael J Borowitz; Anna Porwit; Nancy Lee Harris; Michelle M Le Beau; Eva Hellström-Lindberg; Ayalew Tefferi; Clara D Bloomfield
Journal:  Blood       Date:  2009-04-08       Impact factor: 22.113

  8 in total
  5 in total

Review 1.  [Clinical hematological symptoms of vitamin B12 deficiency in old age : Summarized overview of this year's symposium of the Working Group "Anemia in the Aged" on the occasion of the annual conference of the German Geriatric Society (DGG) in Frankfurt].

Authors:  Gabriele Röhrig; Ines Gütgemann; Gerald Kolb; Andreas Leischker
Journal:  Z Gerontol Geriatr       Date:  2018-05-23       Impact factor: 1.281

2.  [Vitamin B12 deficiency in the elderly].

Authors:  A H Leischker; G F Kolb
Journal:  Z Gerontol Geriatr       Date:  2015-01       Impact factor: 1.281

3.  Vitamin B12 deficiency mimicking acute leukemia.

Authors:  Manojna Konda; Abhijit Godbole; Soumya Pandey; Appalanaidu Sasapu
Journal:  Proc (Bayl Univ Med Cent)       Date:  2019-07-30

4.  Hematological parameters and prevalence of anemia in white and British Indian vegetarians and nonvegetarians in the UK Biobank.

Authors:  Tammy Y N Tong; Timothy J Key; Kezia Gaitskell; Timothy J Green; Wenji Guo; Thomas A Sanders; Kathryn E Bradbury
Journal:  Am J Clin Nutr       Date:  2019-08-01       Impact factor: 7.045

5.  Vitamin B12 deficiency in northern India tertiary care: Prevalence, risk factors and clinical characteristics.

Authors:  Jitendra Singh; Anju Dinkar; Poonam Gupta; Virendra Atam
Journal:  J Family Med Prim Care       Date:  2022-06-30
  5 in total

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