6533b829fe1ef96bd128af6d
RESEARCH PRODUCT
Multiple sclerosis-like neurological manifestations in a coeliac patient: nothing is as it seems
Pasquale MansuetoAntonio CarroccioLaura Di StefanoAlberto D'alcamosubject
MaleNervous systemmedicine.medical_specialtyMultiple SclerosisSettore MED/09 - Medicina InternaGastroenterologyCobalaminArticleCoeliac diseaseDiagnosis DifferentialMultiple sclerosis; coeliac diseasechemistry.chemical_compoundFolic AcidErectile DysfunctionInternal medicinemedicineHumansMultiple sclerosiParesthesiaVitamin B12business.industryMultiple sclerosisBrainVitamin B 12 DeficiencyGeneral MedicineMiddle Agedmedicine.diseaseMagnetic Resonance ImagingDecreased LibidoSurgeryCeliac DiseaseErectile dysfunctionmedicine.anatomical_structureSpinal CordchemistryVitamin B ComplexDifferential diagnosisbusinesscoeliac diseasedescription
Cobalamin (vitamin B12) deficiency occurs with several disorders, involving different organs and systems, including blood, bowel, nervous system and eyes. Although the most important features are usually haematological ones, presence of neurological involvement, in the absence of blood count alterations, has just been described in the literature. Here we report the case of a 48-year-old man, suffering from coeliac disease for approximately 5 years, vegetarian, who was admitted to our department, referring dysaesthesia of the left lower limb, decreased libido and erectile dysfunction. Vitamin B12 deficiency was proved, even in the absence of blood count alteration, and treated with a vitamin supplement, resulting in complete remission.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2012-01-01 |