[Macrocytic anemia and neurological signs due to vitamin B-12 deficiency in a breast-fed infant of a strict vegetarian mother].
Orv Hetil. 2001 Nov 18; 142(46):2581-5.OH

Abstract

Vitamin B12 deficiency is a very rare disease of infants and young children in Europe. Authors report a case of a 9.5-month-old infant who was exclusively breast-fed by his vegan mother and developed serious vitamin B12 deficiency in form of neurological regression, repetitive vomiting, drowsiness, dysphagia, obstipation, and tremor. A few days after intramuscular vitamin substitution his abnormal signs improved dramatically, hematological restitution was reached in six weeks. Authors describe the hematological and neurological signs, the diagnostic and differential-diagnostic pitfalls, therapy, prognosis, and prevention of this condition. Beside reviewing the literature they emphasize the importance of early recognition and intervention and the need of an appropriate doctor-parent cooperation in this disease.

Authors+Show Affiliations

Fogarasi A
Neurológiai Osztály, Magyarországi Református Egyház Bethesda Gyermekkórháza, Budapest.
Neuwirth M
No affiliation info available
Békési A
No affiliation info available
Bocskai E
No affiliation info available

MeSH

AdultAnemia, MacrocyticBreast FeedingDiagnosis, DifferentialDiet, VegetarianFemaleHumansInfantInjections, IntramuscularMaleNeuromuscular DiseasesPrognosisVitamin B 12Vitamin B 12 Deficiency

Pub Type(s)

English Abstract
Journal Article

Language

hun

PubMed ID

11770177