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. 2023 Oct 3;195(38):E1300–E1304. doi: 10.1503/cmaj.230959

Table 2:

Laboratory results before and after treatment with intramuscular injections of vitamin B12 for severe vitamin B12 deficiency presenting as pseudo-thrombotic microangiopathy

Investigation Reference range Day since admission
Day 1 Day 2 Day 3* Day 4 Day 5 Day 7 Day 35
Hemoglobin, g/L 135–175 45 103 71 71 75 79 120
MCV, fL 80–100 111 93.1 94.4 92.5 96.3 98.8 89
Platelets, × 109/L 150–400 68 26 19 16 13 54 184
Leukocytes, × 109/L 4–11 2.9 2 2 2.8 2 4 3.7
Unconjugated bilirubin, μmol/L 0–12 58 50.7 51 55
Lactate dehydrogenase, U/L 110–230 > 4500 4424 > 2000 1308 155
d-dimer, ng/mL < 500 40 052 22 036 38 392 2875 1396 304
INR 0.9–1.2 1.4 1.2 1.3 1.3 1.3 1.4 1.1
Vitamin B12, pmol/L 138–652 < 117 404

Note: INR = international normalized ratio, MCV = mean corpuscular volume.

*

First dose of intramuscular vitamin B12 given on day 3 of hospital admission.

After transfusion of 4 units packed red blood cells.

Laboratory reported > 2000 U/L and not the exact value.