Carence en vitamine B12 : Questions médicales fréquentes
Nom anglais: Vitamin B 12 Deficiency
Descriptor UI:D014806
Tree Number:C18.654.521.500.133.699.923
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"description": "Comment diagnostiquer une carence en vitamine B12 ?\nQuels tests sont utilisés pour confirmer la carence ?\nQuels signes cliniques indiquent une carence ?\nLa carence en B12 peut-elle être asymptomatique ?\nQuel rôle joue l'historique médical dans le diagnostic ?",
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"description": "Comment traiter une carence en vitamine B12 ?\nQuelle est la durée du traitement ?\nLes aliments peuvent-ils aider à corriger la carence ?\nLes personnes végétariennes sont-elles à risque ?\nLes traitements sont-ils différents pour les enfants ?",
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"description": "Qui est le plus à risque de carence en B12 ?\nLes maladies auto-immunes augmentent-elles le risque ?\nLes médicaments peuvent-ils influencer le risque ?\nLes troubles digestifs sont-ils un facteur de risque ?\nLes antécédents familiaux jouent-ils un rôle ?",
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"@type": "Question",
"name": "Comment diagnostiquer une carence en vitamine B12 ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un diagnostic se fait par des analyses sanguines mesurant les niveaux de vitamine B12."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer la carence ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests incluent la mesure de la vitamine B12, de l'homocystéine et de la méthylmalonyl-CoA."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une carence ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme l'anémie, la fatigue, et des troubles neurologiques peuvent indiquer une carence."
}
},
{
"@type": "Question",
"name": "La carence en B12 peut-elle être asymptomatique ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines personnes peuvent avoir une carence sans présenter de symptômes visibles."
}
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{
"@type": "Question",
"name": "Quel rôle joue l'historique médical dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'historique médical aide à identifier des facteurs de risque comme des troubles d'absorption."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants de la carence en B12 ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fatigue, faiblesse, engourdissements et troubles de l'humeur."
}
},
{
"@type": "Question",
"name": "La carence en B12 peut-elle causer des problèmes neurologiques ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des troubles neurologiques comme des démences ou des neuropathies."
}
},
{
"@type": "Question",
"name": "Comment la carence affecte-t-elle la peau ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer des changements cutanés comme une pâleur ou des lésions cutanées."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes digestifs associés ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des symptômes comme des nausées, des diarrhées ou des troubles digestifs peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'âge ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent être plus prononcés chez les personnes âgées en raison de l'absorption réduite."
}
},
{
"@type": "Question",
"name": "Comment prévenir la carence en vitamine B12 ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée incluant des sources de B12 et des suppléments si nécessaire aide."
}
},
{
"@type": "Question",
"name": "Les personnes âgées doivent-elles prendre des suppléments ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées peuvent avoir besoin de suppléments en raison d'une absorption réduite."
}
},
{
"@type": "Question",
"name": "Les végétaliens peuvent-ils éviter la carence ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils doivent prendre des suppléments de B12 ou consommer des aliments enrichis pour éviter la carence."
}
},
{
"@type": "Question",
"name": "Les tests réguliers sont-ils recommandés ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des tests réguliers sont conseillés pour les personnes à risque de carence."
}
},
{
"@type": "Question",
"name": "Les maladies digestives augmentent-elles le risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme la maladie de Crohn peuvent affecter l'absorption de la vitamine B12."
}
},
{
"@type": "Question",
"name": "Comment traiter une carence en vitamine B12 ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement inclut des suppléments oraux ou des injections de vitamine B12 selon la gravité."
}
},
{
"@type": "Question",
"name": "Quelle est la durée du traitement ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La durée dépend de la gravité, mais peut durer de quelques mois à plusieurs années."
}
},
{
"@type": "Question",
"name": "Les aliments peuvent-ils aider à corriger la carence ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, consommer des aliments riches en B12 comme la viande, le poisson et les produits laitiers aide."
}
},
{
"@type": "Question",
"name": "Les personnes végétariennes sont-elles à risque ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent être à risque en raison d'un apport alimentaire limité en vitamine B12."
}
},
{
"@type": "Question",
"name": "Les traitements sont-ils différents pour les enfants ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements sont similaires, mais les doses peuvent varier selon l'âge et le poids."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications incluent l'anémie mégaloblastique, des troubles neurologiques et des problèmes cardiaques."
}
},
{
"@type": "Question",
"name": "La carence peut-elle entraîner des problèmes cognitifs ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une carence prolongée peut causer des troubles cognitifs et des pertes de mémoire."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque accru de maladies cardiovasculaires ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une carence en B12 peut augmenter le risque de maladies cardiovasculaires en élevant l'homocystéine."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles réversibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être réversibles avec un traitement approprié, d'autres non."
}
},
{
"@type": "Question",
"name": "La carence en B12 peut-elle affecter la grossesse ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des complications pendant la grossesse, comme des malformations congénitales."
}
},
{
"@type": "Question",
"name": "Qui est le plus à risque de carence en B12 ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées, les végétariens, et ceux ayant des troubles d'absorption sont à risque."
}
},
{
"@type": "Question",
"name": "Les maladies auto-immunes augmentent-elles le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme la gastrite atrophique peuvent affecter l'absorption de la B12."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils influencer le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains médicaments comme les inhibiteurs de la pompe à protons peuvent réduire l'absorption."
}
},
{
"@type": "Question",
"name": "Les troubles digestifs sont-ils un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des troubles comme la maladie cœliaque peuvent nuire à l'absorption de la vitamine B12."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de carence peuvent augmenter le risque chez certains individus."
}
}
]
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B...
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The intention of this audit was to establish whether B12 deficiency is diagnosed correctly and whether there was over-treatment of patients....
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Twenty-five studies were included. The pooled OR of vitamin B12 deficiency among PPI users (2852 participants) was higher than non-users (28070 participants) (OR 1.42, 95% CI: 1.16-1.73; I...
Although the pooled OR of vitamin B12 deficiency was slightly increased in PPI users, but there was significant heterogeneity, and the pooled OR was too low to imply an association clearly. Better-des...
This study was not registered on PROSPERO....
We present the results of our experience in the diagnosis and follow up of the positive cases for propionic, methylmalonic acidemias and cobalamin deficiencies (PA/MMA/MMAHC) since the Expanded Newbor...
Dried blood samples were collected 48 h after birth. Amino acids and acylcarnitines were quantitated by MS/MS. Newborns with alterations were referred to the clinical centers for follow-up. Biochemica...
In the period 2011-2020, 588,793 children were screened, being 953 of them were referred to clinical units for abnormal result (192 for elevated C3 levels). Among them, 88 were false positive cases, 8...
Elevated C3 are a frequent cause for abnormal result in newborn screening with a high rate of false positive cases. Presymptomatic diagnosis of most of PA and some MMA/MMAHC is difficult. Vitamin B12 ...
The use of metformin in diabetic patients causes vitamin B12 deficiency, but there is not enough evidence about the existence of a correlation between different doses of metformin and vit B12 deficien...
Vitamin B12 deficiency is a multifactorial condition, with a wide range of clinical presentations from mild to severe anemia and anemia-related neurological deficits. Hemolysis is a unique cause but h...
The early diagnosis of and intervention in vitamin B12 deficiency in exclusively breastfed infants by mothers with low vitamin B12 is crucial in preventing possible irreversible neurologic damage, meg...
Whether the long-term treatment of patients with proton pump inhibitors (PPIs) with different diseases [GERD, Zollinger-Ellison syndrome (ZES), etc.] can result in vitamin B...