Is Serum Methylmalonic Acid a Reliable Biomarker of Vitamin B12 Status in Children with Short Bowel Syndrome: A Case Series

被引:16
作者
Jimenez, Lissette [1 ,2 ]
Stamm, Danielle A. [2 ,3 ]
Depaula, Brittany [1 ,2 ]
Duggan, Christopher P. [1 ,2 ]
机构
[1] Harvard Med Sch, Boston Childrens Hosp, Div Gastroenterol Hepatol & Nutr, Boston, MA USA
[2] Harvard Med Sch, Boston Childrens Hosp, Ctr Adv Intestinal Rehabil, Boston, MA USA
[3] Harvard Med Sch, Boston Childrens Hosp, Dept Surg, Boston, MA USA
基金
美国国家卫生研究院;
关键词
MULTIPLE MICRONUTRIENT DEFICIENCIES; INTESTINAL BACTERIAL OVERGROWTH; FAILURE; MANAGEMENT; COBALAMIN;
D O I
10.1016/j.jpeds.2017.09.024
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We describe 3 patients with short bowel syndrome who had persistently elevated serum methylmalonic acid (MMA) levels while being treated for vitamin B12 deficiency. Following treatment for presumed small bowel bacterial over-growth, MMA levels normalized. Among patients with short bowel syndrome, MMA levels may have limited specificity for vitamin B12 deficiency.
引用
收藏
页码:259 / 261
页数:3
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