CASE REPORT ON SEVERE VITAMIN B12 DEFICIENCY IN YOUNG CHILD: PRESENTATION WITH PANCYTOPENIA AND SPLENOMEGALY
Shanki Kaundal* and Vatika Gupta
ABSTRACT
Vitamin B12 deficiency is a well-recognized cause of nutrition deficiency anaemia. The presentation of vitamin B12 deficiency ranges from being asymptomatic to affecting multiple organ systems. Vitamin B12 deficiency manifests as macrocytic anaemia and presenting symptoms often include signs of anemia, such as fatigue and visible pallor, generalized weakness and hyperpigmentation. We report a case of a 15-year-old patient with severe vitamin B12 deficiency who presented to our clinic with easy fatiguability and hyperpigmentation of knuckles. Patient had dramatic improvement after initiation of treatment with vitamin B12 supplementation. This case highlights the necessity of early diagnosis and treatment of vitamin B12 deficiency especially in vegetarians when clinician encounters vague complaints like skin hyperpigmentation and easy fatiguability.
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