Blood, 1955, Vol. 10, No. 11, pp. 1151-1155.
© 1955 American Society of Hematology, Inc.
Observations on the Mechanism of Intranasal Absorption
of Vitamin B12 in Pernicious Anemia
RAYMOND W. MONTO 1 and
JOHN W. REBUCK 1
1 Division of Hematology and the Department of Laboratories, Henry Ford
Hospital, Detroit, Michigan.
Satisfactory clinical and hematologic response was obtained from the single
application to the nasal mucosa of 200 and 150 micrograms of crystalline vitamin
B12 in two patients with pernicious anemia.
Thirty-two patients with pernicious anemia in relapse and 55 in remission
have been controlled satisfactorily by intranasal B12 either in saline solution,
lactose powder, or as crystals. Absorption of the vitamin was probably direct
and did not require binding with "intrinsic substance." Chronic disease of the
nose did not contraindicate this modality of therapy; local irritation of the
mucous membranes by the crystalline B12 or the vehicles employed has not
been observed.
Submitted on December 15, 1954
Accepted on June 22, 1955