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Journal of Tropical Pediatrics Advance Access published online on July 17, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp039
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Severe Vitamin B12 Deficiency in a Breast Fed Infant with Pancytopenia

Funda Erkasar Citaka and Elvan Caglar Citakb

a Ankara Foundation of Children with Leukemia, Department of Pediatric Hematology, Turgutlu Sokak No. 30, Gaziosmanpasa, Ankara, Turkey
b Department of Pediatric Oncology, Gaziantep Children Hospital, Sahinbey, Gaziantep, Turkey

Correspondence: Elvan Caglar Citak, MD, Department of Pediatric Oncology, Gaziantep Children Hospital, Sahinbey, Gaziantep, Turkey. E-mail: <caglarcitak{at}yahoo.com>.


  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.

Key Words: megaloblastic anemia • pancytopenia • B12 deficiency • infant


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