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Challenges in the Identification of Cobalamin-Deficiency Polyneuropathy
Arch Neurol 60:1296-1301, Saperstein,D.S.,et al, 2003
See this aricle in Pubmed

Article Abstract
This study highlights the challenges of proving that Cbl deficiency is the cause for PN and identifies clinical features that suggest Cbl-deficiency PN. Testing of serum metabolite levels may identify Cbl deficiency in some patients with normal serum Cbl levels.
 
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