Journal
GENERAL HOSPITAL PSYCHIATRY
Volume 31, Issue 6, Pages 586-588Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2009.02.003
Keywords
Cobalamin deficiency; Psychosis
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Although cobalamin deficiency is widely known and usually presents with hematologic and neuropsychiatric manifestations, the psychiatric symptoms are not usually the predominant manifestation. We describe a young single male vegetarian who developed a cobalamin-induced psychotic episode without preceding neurologic manifestations and without any hematologic symptoms. He recovered after a short course of antipsychotics and oral cobalamin supplementation and remained asymptomatic and functionally independent at 1 year of follow-up. (C) 2009 Elsevier Inc. All rights reserved.
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