Table 3.

Pretreatment Clinical and Hematologic Findings and Responses to 4 Months of Therapy in Patients Randomized to Parenteral Cyanocobalamin

Patient No. Age/Sex Diagnosis*TherapyHematocrit (%)MCV (fL) Neurologic Symptoms2-153
Pre4 moPre 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*TherapyHematocrit (%)MCV (fL) Neurologic Symptoms2-153
Pre4 moPre 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).

F2-153

See footnote to Table 1.

F2-155

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.

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