Related Experiment Video
Updated: Jun 21, 2026

Breast Milk Enhances Growth of Enteroids: An Ex Vivo Model of Cell Proliferation
Published on: February 15, 2018
Severe vitamin B12 deficiency in a breast fed infant with pancytopenia
Funda Erkasar Citak1, Elvan Caglar Citak
1Ankara Foundation of Children with Leukemia, Department of Pediatric Hematology, Turgutlu Sokak No. 30, Gaziosmanpasa, Ankara, Turkey.
Insights
Severe nutritional vitamin B12 deficiency anemia caused pancytopenia in a 7-month-old infant. Maternal and infant nutritional history is crucial for early diagnosis and treatment of this condition.
Area of Science:
- Pediatrics
- Hematology
- Nutrition
Background:
- Nutritional deficiencies can significantly impact infant health.
- Vitamin B12 is essential for proper blood formation and neurological function.
Observation:
- A 7-month-old exclusively breastfed infant presented with epistaxis (nosebleeds) and bruising.
- Clinical examination revealed signs suggestive of a bleeding disorder.
Findings:
- Laboratory investigations confirmed severe vitamin B12 deficiency anemia.
- The infant exhibited pancytopenia, indicating reduced levels of all blood cell types.
- The deficiency was attributed to the infant's diet and potentially the mother's nutritional status.
Implications:
- Highlights the importance of assessing maternal nutritional status in breastfeeding infants.
- Emphasizes the need for early screening and intervention for vitamin B12 deficiency in infants.
- Underscores the critical role of comprehensive nutritional history in pediatric case management.
Abstract:
We report the case of a 7-month-old breast fed infant who presented with a nose bleed and bruises. Investigation showed severe nutritional B12 deficiency anemia with a pancytopenia. It is important to take the nutritional history of both the infant and the mother for early prevention and treatment.
Related Concept Videos
Vitamins
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Teratogenicity
Inborn Errors of Metabolism
Bacterial Meningitis
Cytomegalovirus Disease
