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. 2023 May 30;94(9):681–688. doi: 10.1136/jnnp-2023-331131

Table 4.

Biochemical findings in patients with N2O-myeloneuropathy

Test (units) (reference range) Among all patients Among those with no suspected or known previous supplementation
Median (IQR) Number (%) abnormal according to hospital reference range Median (IQR) Number (%) abnormal according to hospital reference range
B12 (pg/mL) (187–911) 191 (150–246.5, n=99) 53 (53.5%) below 176 (148–229, n=81) 49 (60.5% below)
MMA (µmol/L) (0–0.42) 2.98 (0.62–5.84, n=41) 32 (78.0%) above 3.07 (0.70–5.49, n=28) 23 (82.1%) above
Homocysteine (µmol/L) (0–16) 77.5 (21.6–95.3, n=20) 16 (80.0%) above 82.2 (21.6–108.0, n=16) 13 (81.3%) above
Hb (g/L) (women 115–165; men 130–170] 139.0 (130.5–149.8, n=66) 6 (9.1%) below 138 (129–150, n=51) 4 (7.8%) below
MCV (fL) (80–101) 91.8 (89.5–94.6, n=64) 4 (6.3%) above 92.0 (89.9–94.9, n=50) 2 (4.0%) above

Biochemical tests in patients with N2O-myeloneuropathy in all patients as well as in patients with no documented prior B12 supplementation. The reference ranges displayed in the table are the broadest reference ranges used between centres; full details of reference ranges are in online supplemental table 2).

Hb, haemoglobin; MCV, mean corpuscular volume; MMA, methylmalonic acid; N2O, nitrous oxide.