Katakam Phalguna Kousika, Hegde Asha P, Venkataramaiahyappa Manju
Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Paediatrics, Melaka-Manipal Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India.
BMJ Case Rep. 2018 Jan 12;2018:bcr-2017-222302. doi: 10.1136/bcr-2017-222302.
Vitamin B deficiency in vegans is a known cause of megaloblastic anaemia. We report an adolescent girl who presented with jaundice and weight loss for 6 months secondary to vitamin B deficiency, leading to megaloblastic anaemia. Replacement with vitamin B reversed her symptoms, resulting in weight gain, and normalised her haemoglobin, red blood cell morphology, bilirubin levels and serum vitamin B levels.
素食者维生素B缺乏是已知的巨幼细胞贫血病因。我们报告一名青春期女孩,她因维生素B缺乏继发出现黄疸和体重减轻6个月,导致巨幼细胞贫血。补充维生素B使她的症状得到缓解,体重增加,血红蛋白、红细胞形态、胆红素水平和血清维生素B水平恢复正常。