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30 years old came with complaints of easy fatigability, exertional dyspnea, and weight loss. She also complains of frequent falls. Physical examination revealed there was a bilateral decrease in vibration sense. Her hemoglobin levels were 8.2g%. She was treated with folate. Her anemia improved but neurological symptoms worsened. Which of the following is the most probable reason for her condition ?
30 years old came with complaints of easy fatigability, exertional dyspnea, and weight loss. She also complains of frequent falls. Physical examination revealed there was a bilateral decrease in vibration sense. Her hemoglobin levels were 8.2g%. She was treated with folate. Her anemia improved but neurological symptoms worsened. Which of the following is the most probable reason for her condition ?
Updated On: Aug 20, 2024
- Folate not absorbed
- Unmasked pyridoxine deficiency
- Deficiency of folate reductase in CNS
- Folate therapy caused rapid use of Vit B12 stores aggravating symptoms
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The Correct Option is D
Solution and Explanation
The correct option is (D): Folate therapy caused rapid use of Vit B12 stores aggravating symptoms.
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