PMID: 26320356Sep 1, 2015Paper

Severe macrocytic anaemia and secondary hyperparathyroidism in a vegan

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Elizabeth Siren Bjerga Førland, Mats Jacob Hermansson Lindberg

Abstract

Nutritional deficiency anaemia in vegans is common and usually due to lack of vitamin B12, as this vitamin is found almost exclusively in animal-based food products. In this case report we present a 39-year-old male vegan with severe macrocytic anaemia due to vitamin B12 deficiency as well as secondary hyperparathyroidism due to severe vitamin D deficiency. We want to emphasize the importance of a detailed nutritional history for patients with anaemia, and the need for vitamin B12 and vitamin D supplements for people who comply with a vegan diet.

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