Format

Send to

Choose Destination
BMJ Case Rep. 2017 May 6;2017. pii: bcr-2016-218558. doi: 10.1136/bcr-2016-218558.

You are what you eat: ophthalmological manifestations of severe B12 deficiency.

Author information

1
Department of Ophthalmology, Centro Hospitalar Universitario de Coimbra, Coimbra, Portugal.
2
Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal.

Abstract

Severe B12 vitamin deficiency due to diminished dietary intake is a known cause of severe pancytopenia with bleeding diathesis. The authors report a case with sudden-onset bilateral vision loss, severe pancytopenia and multiple organ failure secondary to B12 vitamin deficiency in a patient with a strict vegetarian diet. On funduscopic examination the patient had multiple bilateral exuberant haemorrhages in all retinal layers. Five months after presentation, he had a complete visual recovery without ophthalmological intervention.

KEYWORDS:

Haematology (incl blood transfusion); Malnutrition; Ophthalmology; Retina

PMID:
28478387
DOI:
10.1136/bcr-2016-218558
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center