| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website https://jmc.elmerpub.com |
Case Report
Volume 17, Number 8, August 2026, pages 376-379
Marked Hypervitaminemia B12 Associated With Previously Unrecognized Alcohol-Related Cirrhosis Revealed During Alcohol Withdrawal
Table
| Parameter | Result | Normal range |
|---|---|---|
| Hemoglobin | 14.6 g/dL | 13–17 |
| Mean corpuscular volume | 104 fL | 80–98 |
| Platelets | 118 × 109/L | 150–400 |
| Aspartate aminotransferase | 132 IU/L | < 40 |
| Alanine aminotransferase | 98 IU/L | < 45 |
| Gamma-glutamyl transferase | 420 IU/L | < 60 |
| Bilirubin | 26 µmol/L | < 20 |
| Albumin | 32 g/L | 35–50 |
| Total protein | 75 g/L | 70–100 |
| Ferritin | 640 µg/L | 30–300 |
| Vitamin B12 | 1,124 pg/mL | 200–900 |
| Alpha-fetoprotein | 3.2 ng/mL | < 10 |