Case Studies1 November 1963Pyridoxine-Responsive Anemia with NeuropathyEUGENE M. BEAUPRE, M.D., PATRICK M. GROWNEY, M.D.EUGENE M. BEAUPRE, M.D.Search for more papers by this author, PATRICK M. GROWNEY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-5-724 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPyridoxine-responsive anemia was first reported in a human adult by Harris, Whittington, Weisman, Jr., and Horrigan (1) in 1956. Since then a number of individual cases have been described (2-15) and several excellent reviews have been published (6, 9, 10, 14). Only 4 females with this condition have been reported (13, 14, 16, 17). This excludes Maier's case report (18), in 1957, of a female patient with a macrocytic megaloblastic anemia responsive to vitamin B6 therapy, which is unlike that of any of the group described subsequently that responded to pyridoxine therapy.The case report below is that of a...References1. HARRISWHITTINGTONWEISMANHORRIGAN JWRMRDL: Pyridoxine-responsive anemia in the human adult. Proc. Soc. Exp. Biol. Med. 91: 427, 1956. CrossrefMedlineGoogle Scholar2. FOYKONDI HA: Hypochromic anemias of the tropics associated with pyridoxine and nicotinic acid deficiency. Blood 13: 1054, 1958. CrossrefMedlineGoogle Scholar3. BISHOPBETHELL RCFH: Hereditary hypochromic anemia with transfusion hemosiderosis treated with pyridoxine: report of a case. New Eng. J. Med. 261: 486, 1959. CrossrefMedlineGoogle Scholar4. ERSLEVLEARCASTLE AJAAWB: Pyridoxine-responsive anemia. New Eng. J. Med. 262: 1209, 1960. CrossrefMedlineGoogle Scholar5. VERLOOPRADEMAKER MCW: Anemia due to pyridoxine deficiency in man. Brit. J. Haemat. 6: 66, 1960. CrossrefMedlineGoogle Scholar6. DAWSONLEEMINGOELBAUMPENGELLYWILKINSON DWJTMHCDJF: Pyridoxine-responsive hypochromic anemia: a report of two cases. Lancet 2: 10, 1961. CrossrefMedlineGoogle Scholar7. HAVARD CW: Pyridoxine-responsive anemia. Brit. Med. J. 2: 1756, 1961. CrossrefMedlineGoogle Scholar8. JONESHUTT NFMS: Observations on a case of pyridoxine-responsive anemia. Lancet 1: 1199, 1961. CrossrefMedlineGoogle Scholar9. MEDALELIZONDOGALLARDOGITTLER LSJJTC: Pyridoxine-responsive anemia: report of 2 cases in brothers and a review of the literature. Blood 17: 547, 1961. CrossrefMedlineGoogle Scholar10. RAABHAUTCARTWRIGHTWINTROBE SOAGEMM: Pyridoxine-responsive anemia. Blood 18: 285, 1961. CrossrefMedlineGoogle Scholar11. VUYLSTEKEVERLOOPDROGENDIJK JMCAC: Favourable effect of pyridoxine and ascorbic acid in a patient with refractory sideroblastic anaemia and haemochromatosis. Acta Med. Scand. 169: 113, 1961. CrossrefMedlineGoogle Scholar12. BICKERSBROWNSPRAGUE JNCLCC: Pyridoxine-responsive anemia. Blood 19: 304, 1962. CrossrefMedlineGoogle Scholar13. BONATICARLINILASAGNA BGGC: On a case of "pyridoxine-responsive" anemia. Acta Haemat. 28: 188, 1962. CrossrefMedlineGoogle Scholar14. BOTTOMLEY SS: Pyridoxine-responsive anemia. JAMA 180: 653, 1962. CrossrefMedlineGoogle Scholar15. REDLEAF PD: Pyridoxine-responsive anemia in a patient receiving Izoniazid. Dis. Chest 42: 222, 1962. CrossrefMedlineGoogle Scholar16. ALBAHARYBOIRON CM: Anemie primitive refractaire avec hypersiderose sanguine medullaire et hepatique (case feminin). Acta Med. Scand. 163: 429, 1959. CrossrefMedlineGoogle Scholar17. COTTONHARRIS HBJW: Familial pyridoxine-responsive anemia. Program of the Fifty-fourth Annual Meeting of the American Society for Clinical Investigation, Inc., 1962, page 17. Google Scholar18. MAIER VC: Megaloblastaere Vitamin-B6-mangelanaemie bei haemochromatose. Schweiz. Med. Wschr. 87: 1234, 1957. MedlineGoogle Scholar19. WAYNEWILLFRIEDMANBECKERVILTER LJJBILSRW: Vitamin B6 in internal medicine. Arch. Intern. Med. (Chicago) 101: 143, 1958. CrossrefGoogle Scholar20. BIEHLVILTER JPRW: Effect of Isoniazid on Vitamin B6 metabolism; its possible significance in producing Isoniazid neuritis. Proc. Soc. Exp. Biol. Med. 85: 389, 1954. CrossrefMedlineGoogle Scholar21. VILTERMUELLERGLAZERJARROLDABRAHAMTHOMPSONHAWKINS RWJEHSTJCVR: The effect of vitamin B6 deficiency induced by desoxypyridoxine in human beings. J. Lab. Clin. Med. 42: 335, 1953. MedlineGoogle Scholar22. FOLLISWINTROBE RHMM: A comparison of the effects of pyridoxine and pantothenic acid deficiencies on the nervous tissue of swine. J. Exp. Med. 81: 539, 1945. CrossrefMedlineGoogle Scholar23. CROSBYMUNNFURTH WHJTFW: Standardizing a method for clinical nemoglobinometry. US Armed Forces Med. J. 5: 693, 1954. MedlineGoogle Scholar24. BRECHERCRONKITE GEP: Morphology and enumeration of human blood platelets. J. Appl. Physiol. 3: 365, 1950. CrossrefMedlineGoogle Scholar25. FROSTGOLDWEINKAUFMAN JWMIBD: Studies of B12Co60 absorption in malabsorption syndrome: results before and during specific therapy. Ann. Intern. Med. 47: 293, 1957. LinkGoogle Scholar26. ROSENLOWRYSPRINCE FRSH: A rapid assay for xanthurenic acid in urine. Proc. Soc. Exp. Biol. Med. 77: 399, 1951. CrossrefMedlineGoogle Scholar27. GUBLERCARTWRIGHTWINTROBE CTGEMM: Effect of pyridoxine deficiency on absorption of iron by rat. J. Biol. Chem. 178: 989, 1949. CrossrefMedlineGoogle Scholar28. BLOCK M: Hemosiderosis and hemochromatosis. II. Iron in clinical medicine, University of California Press, p. 115, 1958. Google Scholar29. MOLONYPARMELEE CJAH: Convulsions in young infants as a result of pyridoxine (Vitamin B6) deficiency. JAMA 154: 405, 1954. CrossrefMedlineGoogle Scholar30. COURSIN DB: Convulsive seizures in infants with pyridoxine-deficient diet. Ibid., 406. Google Scholar31. BESSEYADAMSHANSEN OADJAE: Intake of vitamin B6 and infantile convulsions: a first approximation of requirements of pyridoxine in infants. Pediatrics 20: 33, 1957. MedlineGoogle Scholar32. FOUTSHELMERLEPKOVSKY PJOMS: Nutritional microcytic hypochromic anemia in dogs cured with crystalline factor I. Amer. J. Med. Sci. 199: 163, 1940. CrossrefGoogle Scholar33. GERSHOFFFARAGALLANELSONANDRUS SNFFDASB: Vitamin B6 deficiency and oxalate nephrocalcinosis in the cat. Amer. J. Med. 27: 72, 1959. CrossrefMedlineGoogle Scholar34. WINTROBEFOLLISMILLERSTEINALCAYAGAHUMPHREYSSUKSTACARTWRIGHT MMRJMHHJRSAGE: Pyridoxine deficiency in swine. Bull. Hopkins Hosp. 72: 1, 1943. Google Scholar35. SNYDERMANCARRETEROHOLT SERLE: Pyridoxine deficiency in the human being. Fed. Proc. 9: 371, 1950. Google Scholar36. SNYDERMANHOLTCARRETEROJACOBS SELERK: Pyridoxine deficiency in the human infant. J. Clin. Nutrition 1: 200, 1953. CrossrefGoogle Scholar37. HUNTSTOKESMCCRORYSTROUD ADJWWHH: Pyridoxine dependency: report of a case of intractable convulsions in an infant controlled by pyridoxine. Pediatrics 13: 140, 1954. MedlineGoogle Scholar38. GARTYYONISBRAHAMSTEINITZ RZJK: Pyridoxine-dependent convulsions in an infant. Arch. Dis. Child. 37: 21, 1962. CrossrefMedlineGoogle Scholar39. MARIEHENNEQUETLYONDEBRISLEBALLE JAGPJC: Les crises convulsives pyridoxino-sensibles du Nouveau-ne et du nourrisson. Sem. Hop. Paris 35: 1411, 1959. MedlineGoogle Scholar40. SCRIVER CR: Vitamin B6-dependency and infantile convulsions. Pediatrics 26: 62, 1960. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: EUGENE M. BEAUPRE, M.D.; PATRICK M. GROWNEY, M.D.Affiliations: Philadelphia, PennsylvaniaFrom the Hematology Section, Department of Medicine, Hospital of the University of Pennsylvania and School of Medicine, Philadelphia, Pennsylvania.This study was supported in part by grant OG16 from the Clinical Research Center Branch, National Institutes of Health, Bethesda, Maryland.Dr. Beaupre is a Research Fellow of the American College of Physicians, and Dr. Growney is a Daland Research Fellow and former Clinical Fellow of the American Cancer Society.Requests for reprints should be addressed to Eugene M. Beaupre, M.D., Hematology Section of the Medical Clinic, Hospital of the University of Pennsylvania, 3600 Spruce Street, Philadelphia 4, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRevisiting the Evidence for Neuropathy Caused by Pyridoxine Deficiency and ExcessIntroductionPyridoxine-Responsive Hypolipidemia and Hypocholesterolemia in a Patient with Pyridoxine-Responsive AnemiaPyridoxine-Responsive AnaemiasNutrition in Relation to the AnemiasPyridoxine-Responsive Anemia—Prototype and Variations on the ThemeHuman Requirements for Vitamin B6 1 November 1963Volume 59, Issue 5_Part_1Page: 724-730KeywordsAdultsAnemiaHematology and oncologyHospital medicineMegaloblastic anemiaNeuropathyPyridoxine ePublished: 1 December 2008 Issue Published: 1 November 1963 PDF downloadLoading ...
No takes yet. Share an insight, caveat, or question.
EUGENE M. BEAUPRE (1963) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: