J Korean Neurol Assoc.  2016 Nov;34(5):350-352. 10.17340/jkna.2016.4.10.

Sensory Polyneuropathy Associated with Pyridoxine Overdose

Affiliations
  • 1Department of Neurology, Jeju National University School of Medicine, Jeju, Korea. neurokang@jejunu.ac.kr

Abstract

Pyridoxine deficiency and excess have both been implicated as causes of peripheral neuropathy. A 74-year-old man presented with paresthesia in both legs that first appeared 2 months previously. A nerve conduction study revealed axonal sensory polyneuropathy. He had consumed 100 milligrams of pyridoxine every day for 1 year, in the form of vitamin tablets. His blood levels of vitamin B6 were markedly elevated to above 250 nmol/L. This case indicates that the consumption of high-dose pyridoxine can cause sensory polyneuropathy.

Keyword

Paresthesia; Polyneuropathies; Pyridoxine; Vitamins

MeSH Terms

Aged
Axons
Humans
Leg
Neural Conduction
Paresthesia
Peripheral Nervous System Diseases
Polyneuropathies*
Pyridoxine*
Tablets
Vitamin B 6
Vitamin B 6 Deficiency
Vitamins
Pyridoxine
Tablets
Vitamin B 6
Vitamins
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