علاج التهاب اللسان الضموري مع نقص مشترك في فيتامين B12 والحديد

References

DOI: 10.1016/j.jfma.2019.04.015

AG patients with the serum level of vitamin B12 ≤ 450 pg/mL, folic acid ≤6 ng/mL, or iron ≤70 mg/dL for men and ≤ 65 mg/dL for women are defined as having vitamin B12, folic acid or iron deficiency, respectively.

Moreover, our 91 AG patients can be divided into five groups: group I, patients with vitamin B12 deficiency only (n = 39); group II, patients with folic acid deficiency only (n = 10); group III patients with iron deficiency only (n = 9), group IV, patients with both vitamin B12 and iron deficiencies (n = 19); and group V, patients without definite hematinic deficiencies (n = 14).

In brief, all 91 AG patients are treated with oral administration of vitamin BC capsule (one capsule, twice a day; each capsule contained 10 mg of vitamin B1, 5 mg of vitamin B2, 5 mg of vitamin B6, 5 mg of vitamin B12, 20 mg of calcium pantothenate, 50 mg of nicotinamide, 150 mg of vitamin C, and 60 mg of calcium).

Furthermore, group IV patients are treated with additional intramuscular injection of vitamin B12 and oral administration of iron tablet, and group V patients are treated with vitamin BC capsules only.