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Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Vitamin B12 Deficiency in Children
Piali Mandal1, Jagdish Chandra2
1Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India.
Insights
Vitamin B12 deficiency causes anemia, pancytopenia, and neurological issues, especially in children. Early diagnosis and treatment are crucial to prevent long-term complications and support growth.
Area of Science:
- Nutrition Science
- Hematology
- Neurology
Background:
- Vitamin B12 deficiency presents significant global health challenges.
- It is a leading cause of nutritional anemia in children, alongside iron deficiency.
- Deficiency impacts myelin synthesis, leading to neurological manifestations and potentially affecting somatic growth.
Purpose of the Study:
- To review the prevalence, causes, diagnostic methods, and treatment of Vitamin B12 deficiency.
- To discuss factors contributing to the increasing global incidence and prevalence of this deficiency.
- To highlight the importance of timely intervention for neurological and growth-related complications.
Main Methods:
- This study is a comprehensive literature review.
- It synthesizes current knowledge on Vitamin B12 deficiency from various sources.
- The review covers epidemiological data, clinical presentations, diagnostic algorithms, and therapeutic strategies.
Main Results:
- Vitamin B12 deficiency commonly presents as macrocytic/megaloblastic anemia or pancytopenia.
- Neurological manifestations are a significant consequence, with potential for long-term impairment if treatment is delayed.
- Emerging evidence points to a role of Vitamin B12 in somatic growth.
Conclusions:
- Vitamin B12 deficiency requires a thorough diagnostic approach and timely treatment to mitigate severe hematological and neurological outcomes.
- Addressing the increasing global prevalence necessitates understanding its multifactorial causes.
- Early management is key to preventing irreversible complications and supporting normal development.
Abstract:
Vitamin B12 deficiency poses significant health care challenges. Its deficiency is an important cause of nutritional anemia in children, next to iron deficiency. Though macrocytic/ megaloblastic anemia due to deficiency of vitamin B 12, is the common presentation, a significant proportion of patients develop pancytopenia. As vitamin B12 has a significant role in synthesis of myelin, its deficiency also leads to several neurological manifestations. This may have long term implications as neurological complications do not completely resolve if treatment is delayed. Recently, role of vitamin B12 in somatic growth is being highlighted. This review highlights the prevalence, causes, diagnostic approach and treatment of Vitamin B12 deficiency. Possible reasons for increasing incidence and prevalence of vitamin B12 deficiency across the globe are also briefly discussed.
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