Clinical B12 Deficiency in One Case of Recurrent Spontaneous Pregnancy Loss

Verfasser / Beitragende:
[Mirande Candito, Sarah Magnaldo, Jacques Bayle, Jean-François Dor, Yves Gillet, André Bongain, Emmanuel Van Obberghen]
Ort, Verlag, Jahr:
2003
Enthalten in:
Clinical Chemistry and Laboratory Medicine, 41/8(2003-08-07), 1026-1027
Format:
Artikel (online)
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024 7 0 |a 10.1515/CCLM.2003.157  |2 doi 
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245 0 0 |a Clinical B12 Deficiency in One Case of Recurrent Spontaneous Pregnancy Loss  |h [Elektronische Daten]  |c [Mirande Candito, Sarah Magnaldo, Jacques Bayle, Jean-François Dor, Yves Gillet, André Bongain, Emmanuel Van Obberghen] 
520 3 |a Moderate hyperhomocysteinaemia (HHcy) and the homozygous mutation C677T in the 5,10-methylenetetrahydrofolate reductase (MTHFR) gene are associated with increased risk of recurrent pregnancy loss. This HHcy is currently reported as a consequence of folate rather than of vitamin B12-deficient status. We describe one case of recurrent early pregnancy loss with HHcy caused by B12 deficiency. A 38-year old woman had four episodes of early spontaneous pregnancy loss. Biological data: no haemostasis disorders, HHcy (25.9 μmol/l), normal folate (5 ng/ml), B12 deficiency (<150 pg/ml) and the MTHFR C677T homozygote genotype. A bone marrow biopsy gave evidence of moderate megaloblastosis. Parenteral B12 therapy led to normal homocysteine level within 2 months and to a successful pregnancy. In conclusion, vitamin B12 deficiency is one of the causes of recurrent pregnancy loss associated with HHcy, and serum B12 should be measured systematically in this circumstance. 
540 |a Copyright © 2003 by Walter de Gruyter GmbH & Co. KG 
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