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5 Yang, W., Cai, X., Wu, H

49 Other symptoms related to cobalamin deficiency are elevated lactic dehydrogenase levels, mechanical hemolysis, thrombocytopenia, intravascular coagulation thrombosis, low reticulocyte count, vasoconstriction, and renal and pulmonary vasculopathy

Case presentation A 47 years old vegetarian male patient presented with generalised weakness, tiredness, loss of appetite, loss of weight and swelling both legs, noted during the past few weeks