解决慢性荨麻疹的素食患者补充维生素B12:一个病例报告。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Auda H Auda, Oluwasegun Shoewu, Ingrid Corredor, Ayrton Bangolo, Mohammad Jurri, John Sotiriadis, Iyad Baker
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引用次数: 0

摘要

背景:慢性荨麻疹以持续6周以上的荨麻疹和瘙痒为特征,常给诊断和治疗带来挑战。虽然其病因通常是特发性的,但已观察到与营养缺乏(如维生素B12缺乏)有关。病例介绍:一名24岁女性,无明显病史,慢性难治性荨麻疹持续数年。包括过敏测试和自身免疫筛查在内的综合评估结果并不显著。进一步的调查显示她有明显的维生素B12缺乏症(血清B12水平为170 pg/mL),这是由于她长期素食而没有补充维生素B12所致。开始补充维生素B12使她的慢性荨麻疹逐渐消退。结论:本病例强调了在慢性荨麻疹的鉴别诊断中考虑维生素B12缺乏的重要性,特别是在坚持限制性饮食的患者中。解决营养缺乏可以是解决慢性荨麻疹症状的直接和有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resolution of Chronic Urticaria in a Vegan Patient With Vitamin B12 Supplementation: A Case Report.

Background: Chronic urticaria, characterized by persistent hives and pruritus lasting over six weeks, often presents diagnostic and therapeutic challenges. While its etiology is frequently idiopathic, associations with nutritional deficiencies, such as vitamin B12 deficiency, have been observed.

Case presentation: A 24-year-old female with no significant medical history presented with chronic, treatment-resistant hives persisting for several years. Comprehensive evaluations, including allergy testing and autoimmune screenings, were unremarkable. Further investigation revealed a significant vitamin B12 deficiency (serum B12 level of 170 pg/mL), attributed to her long-standing vegan diet without supplementation. Initiation of vitamin B12 supplementation led to the gradual resolution of her chronic urticaria.

Conclusion: This case underscores the importance of considering vitamin B12 deficiency in the differential diagnosis of chronic urticaria, especially in patients adhering to restrictive diets. Addressing nutritional deficiencies can be a straightforward and effective approach in resolving chronic urticaria symptoms.

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来源期刊
自引率
0.00%
发文量
106
审稿时长
17 weeks
期刊介绍: JCHIMP provides: up-to-date information in the field of Internal Medicine to community hospital medical professionals a platform for clinical faculty, residents, and medical students to publish research relevant to community hospital programs. Manuscripts that explore aspects of medicine at community hospitals welcome, including but not limited to: the best practices of community academic programs community hospital-based research opinion and insight from community hospital leadership and faculty the scholarly work of residents and medical students affiliated with community hospitals.
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