CRITICAL LIMB ISCHEMIA; A SEQUEL OF VITAMIN B-12 DEFICIENCY ANEMIA ENDING UP IN AMPUTATION
Critical Limb Ischemia; A Sequel of Vitamin B-12 Deficiency
A 35-year-old serving military soldier serving in Siachin area reported for provision of prostheses. He had a left transfemoral amputation due to critical limb ischemia (CLI). On evaluation, he had severe anemia with impaired position sense and proprioception and was unable to use the prosthesis. On further exploration, he was found to be deficient in vitamin B12 that had presumably predisposed him to develop CLI. After indoor intravenous vitamin B12 administration along with high protein and calorie diet, he improved remarkably and started using the prosthesis provided to him. He was discharged on oral mecobalamin therapy and is now on regular follow up with the internist and hematologist. Before exposure to extreme cold weather, military personnel must undergo screening for anemia in addition to other pertinent medical examination to prevent complications.