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.

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