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?
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Most probably this is a Folic acid insufficiency.
ReplyDeleteIt 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
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Flintstones
This is Vitamin E deficiency.
Source: UpToDate.