Kasantikul V, Shuangshoti S, Phanthumchinda K
J Med Assoc Thai. 1989 Aug;72(8):474-7.
A 54-year-old man who had acute monoblastic leukemia and manifestations of subacute combined degeneration (SCD) of the spinal cord is described clinically and pathologically. Infiltration of the wall of the stomach by leukemic cells may produce impairment in gastric absorption of vitamin B12 and leukemia itself may cause deficiency of folic acid. Decreased level of vitamin B12 or folic acid or both may have evoked symptoms of SCD of the spinal cord in this patient.
本文从临床和病理方面描述了一名患有急性单核细胞白血病且有脊髓亚急性联合变性（SCD）表现的54岁男性患者。白血病细胞浸润胃壁可能导致维生素B12的胃吸收受损，而白血病本身可能导致叶酸缺乏。维生素B12或叶酸水平降低或两者均降低可能引发了该患者的脊髓亚急性联合变性症状。
