Thursday, October 2, 2014


A patient on a fad diet who does not eat oils, meat, eggs, and leafy vegetables presents with a spinocerebellar syndrome. She has ataxia, hyporeflexia, and loss of proprioceptive and vibratory sensation. She also has anemia with evidence of hemolysis. She starts taking vitamins and her symptoms improve.

Challenge: What's the most likely diagnosis?

Image is in the public domain.


RaH said...

Most probably this is a Folic acid insufficiency.
It could be a cobalamine (Vit B12) deficiency, but unikely as the average Person has enough vitamines for a few years, and the average Person does not go on a fad diet for a few years, so folic acid deficiency is more probable

Craig Chen said...


This is Vitamin E deficiency.

Source: UpToDate.