Podzolkov V I, Dragomiretskaya N A, Dambaeva O T, Auvinen S T, Medvedev I D
Sechenov First Moscow State Medical University (Sechenov University).
Ter Arkh. 2019 Aug 15;91(8):160-167. doi: 10.26442/00403660.2019.08.000378.
A high serum vitamin B12 level (hypercobalaminemia) is a underestimated anomaly. Clinically, it can be paradoxically accompanied by signs of deficiency, which are related to defects in tissue uptake of vitamin B12. The increase in the level of serum cobalamin occurs mainly in serious diseases that require early diagnosis: hemoblastosis, liver and kidney diseases, etc. This review presents data on the metabolism of vitamin B12 and the potential significance of increasing its level as a marker for the early diagnosis of these diseases.
血清维生素B12水平升高(高钴胺血症)是一种未得到充分认识的异常情况。临床上,它可能反常地伴有缺乏症状,这与维生素B12组织摄取缺陷有关。血清钴胺素水平升高主要发生在需要早期诊断的严重疾病中:成血病、肝脏和肾脏疾病等。本综述介绍了维生素B12的代谢数据以及其水平升高作为这些疾病早期诊断标志物的潜在意义。