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24th July 2024
A 43-year-old male presents with worsening weakness of his legs. He is slightly confused
A 43-year-old male presents with worsening weakness of his legs. He is slightly confused and his wife explains that his symptoms started a few months ago with some tingling and numbness in his hands and feet and progressed to difficulty walking. He has a background of poorly controlled Crohn’s disease, for which he had an ileocaecal resection 3 years ago. Blood tests show:
| Hb (130 – 180 g/L) | 82 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 4.3 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 162 x10⁹/L |
| MCV (80 – 100 fL) | 110 fL |
What is the most likely appropriate treatment for this gentleman?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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