We report a rare case of juvenile cobalamin deficiency who presented at the age of 17 years. He was underweight and had skin changes, normocytic anemia, and autonomic dysfunction, which led to adynamic ileus and acute postrenal failure. The expected macrocytosis was masked by an underlying alpha-thalassemia trait. The patient had an excellent response to parenteral cobalamin treatment.
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| http://dx.doi.org/10.1097/MPH.0b013e3182288249 | DOI Listing |
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- * In a controlled experiment with juvenile pigs, a nitinol spring was inserted into the ileum and monitored for structural and functional preservation during a week-long recovery period after surgery.
- * Results showed significant lengthening of the ileum, with no adverse effects on the pigs, suggesting potential improvements in intestinal function and hormonal activity due to increased enteroendocrine cell density.
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