Unusual presentation of vitamin B12 deficiency in a 3 month old infant: presentation with hemolysis and thrombocytopenia

Authors

  • Poornima Shankar Department of Pediatrics, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India
  • Anil H. Department of Pediatrics, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, Indi

DOI:

https://doi.org/10.18203/2349-3291.ijcp20203186

Keywords:

Hemolytic anemia, Icterus, Purpura, Thrombocytopenia, Vitamin B12 deficiency

Abstract

A 3 month old infant exclusively breast fed presented with vomiting and poor weight gain with purpuric and echymotic patches all over the body. The child also had hyperpigmentation over knuckles and icterus. Laboratory investigations revealed severe dimorphic anemia with thrombocytopenia, elevated bilirubin and LDH levels and severe vitamin B12 deficiency. Following vitamin B12 supplementation there was improvement in well-being including feed tolerance, icterus resolved and in follow up lab studies there was improvement in hemoglobin and platelet counts along with reduced bilirubin levels. Through this case report we want to emphasize the possibility of vitamin B12 deficiency presenting as hemolytic anemia and psuedothrombotic microangiopathy.

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Published

2020-07-22

Issue

Section

Case Reports