Pretreatment Clinical and Hematologic Findings and Responses to 4 Months of Therapy in Patients Randomized to Parenteral Cyanocobalamin
Patient No. . | Age/Sex . | Diagnosis* . | Therapy† . | Hematocrit (%) . | MCV (fL) . | Neurologic Symptoms2-153 . | |||
---|---|---|---|---|---|---|---|---|---|
Pre‡ . | 4 mo‡ . | Pre . | 4 mo . | Pre . | 4 mo . | ||||
19 | 70/M | AG | IM | 45 | 45 | 103 | 82 | Ataxia | Cleared |
20 | 70/M | AG | IM | 40 | 45 | 118 | 86 | Paresthesias | Improved |
21 | 41/F | AG | IM | 302-155 | 432-155 | 91 | 83 | ||
22 | 83/F | AG | IM | 42 | 41 | 106 | 89 | Memory loss | Improved |
23 | 65/F | PA | IM | 38¶ | 44¶ | 119 | 89 | ||
24 | 60/F | PA | IM | 39 | 41 | 112 | 94 | ||
25 | 70/F | AG | IM | 42 | 44 | 106 | 86 | ||
26 | 85/F | IR | IM | 38 | 34 | 99 | 90 | Ataxia | Cleared |
27 | 77/F | AG | IM | 42 | 45 | 100 | 98 | ||
28 | 73/F | Diet | IM | 35 | 34 | 93 | 93 | ||
29 | 79/F | Diet | IM | 41 | 43 | 107 | 106 | ||
30 | 37/F | GS | IM | 302-155 | 372-155 | 1292-155 | 862-155 | ||
31 | 85/F | OMEP | IM | 39 | 41 | 84 | 86 | ||
32 | 78/F | IR | IM | 38 | 37 | 86 | 91 | ||
33 | 85/F | AG | IM | 35 | 34 | 100 | 97 | ||
Mean ± SD | 71 ± 15 | IM | 39.5 ± 2.9 | 40.6 ± 4.4 | 102 ± 11 | 91 ± 7 |
Patient No. . | Age/Sex . | Diagnosis* . | Therapy† . | Hematocrit (%) . | MCV (fL) . | Neurologic Symptoms2-153 . | |||
---|---|---|---|---|---|---|---|---|---|
Pre‡ . | 4 mo‡ . | Pre . | 4 mo . | Pre . | 4 mo . | ||||
19 | 70/M | AG | IM | 45 | 45 | 103 | 82 | Ataxia | Cleared |
20 | 70/M | AG | IM | 40 | 45 | 118 | 86 | Paresthesias | Improved |
21 | 41/F | AG | IM | 302-155 | 432-155 | 91 | 83 | ||
22 | 83/F | AG | IM | 42 | 41 | 106 | 89 | Memory loss | Improved |
23 | 65/F | PA | IM | 38¶ | 44¶ | 119 | 89 | ||
24 | 60/F | PA | IM | 39 | 41 | 112 | 94 | ||
25 | 70/F | AG | IM | 42 | 44 | 106 | 86 | ||
26 | 85/F | IR | IM | 38 | 34 | 99 | 90 | Ataxia | Cleared |
27 | 77/F | AG | IM | 42 | 45 | 100 | 98 | ||
28 | 73/F | Diet | IM | 35 | 34 | 93 | 93 | ||
29 | 79/F | Diet | IM | 41 | 43 | 107 | 106 | ||
30 | 37/F | GS | IM | 302-155 | 372-155 | 1292-155 | 862-155 | ||
31 | 85/F | OMEP | IM | 39 | 41 | 84 | 86 | ||
32 | 78/F | IR | IM | 38 | 37 | 86 | 91 | ||
33 | 85/F | AG | IM | 35 | 34 | 100 | 97 | ||
Mean ± SD | 71 ± 15 | IM | 39.5 ± 2.9 | 40.6 ± 4.4 | 102 ± 11 | 91 ± 7 |
*See footnotes to Table 1. GS indicates prior gastric stapling. All patients designated as AG or PA had low serum pepsinogen levels as well as elevated serum gastrin concentrations.
IM indicates intramuscular cobalamin therapy.
Pre indicates pretreatment value. 4 mo indicates value after 4 months of intramuscular cyanocobalamin (total of nine 1,000 μg injections).
See footnote to Table 1.
Patient no. 21 received simultaneous iron therapy and patient no. 30 received simultaneous iron and folic acid treatment. Hematocrits on patients no. 21 and 30 are not included in the calculation of the mean values and the MCV of patient no. 30 was not included in the calculation of the mean values.
¶Also had atrophic glossitis before therapy, which had resolved completely at 4 months.