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Acute megaloblastic anemia caused by inhalation of nitrous oxide in a patient with multiple autoimmune pathology.


 
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1. Title Title of document Acute megaloblastic anemia caused by inhalation of nitrous oxide in a patient with multiple autoimmune pathology.
 
2. Creator Author's name, affiliation, country L Barbosa; Serviço de Medicina, Hospital de S. José, Lisboa.; Portugal
 
2. Creator Author's name, affiliation, country I Leal; Portugal
 
2. Creator Author's name, affiliation, country A T Timóteo; Portugal
 
2. Creator Author's name, affiliation, country T Matias; Portugal
 
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4. Description Abstract Although megaloblastic anemias are generally regarded as chronic conditions of insidious appearance, a megaloblastic state can arise over the course of only a few days due to acute folate or vitamin B12 deficiency. One of the most common causes, though seldom reported, is the nitrous oxide (N02) action in tissue. In fact N02, a volatile substance commonly used in anaesthesia, destroys methylcobalamin, leading to the rapid development of a megaloblastic haematopoiesis. This phenomenon may occur in patients without previous vitamin B12 deficit, but is more frequent and severe when there is a pre-existent deficiency state. A case report is described of a patient with femoral fracture who developed acute anemia after surgery and a latent pernicious anemia was revealed upon investigation.
 
5. Publisher Organizing agency, location Ordem dos Médicos
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2000-12-30
 
8. Type Status & genre article
 
8. Type Type
 
9. Format File format PDF (Português)
 
10. Identifier Uniform Resource Identifier https://actamedicaportuguesa.com:443/revista/index.php/amp/article/view/1798
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.20344/amp.1798
 
11. Source Title; vol., no. (year) Acta Médica Portuguesa; Vol 13, No 5-6 (2000): Setembro-Dezembro
 
12. Language English=en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c)