Aguirre Juan A, Donato María L, Buscio Mariela, Ceballos Verónica, Armeno Marisa, Aizpurúa Luciana, Arpí Lucrecia
Hospital Nacional de Pediatría SAMIC "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires.
Arch Argent Pediatr. 2019 Aug 1;117(4):e420-e424. doi: 10.5546/aap.2019.e420.
Vitamin B12 deficiency is one of the most serious complications of vegetarianism and its variants. Infants born to vegan mothers are at greater risk of serious deficiency, being more vulnerable to their effects. B12 deficiency is not usually suspected by the pediatrician in healthy infants with neurological symptoms. The manifestations are nonspecific: apathy, rejection of food and loss of maturational patterns. A nutritional history of the mother, mainly if she is vegetarian, to estimate her reserves is fundamental to detect risk of deficiency of this vitamin in the small child. The objective of this work is to describe a group of infants, children of vegan mothers, with B12 deficiency and serious neurological compromise: central apneas, seizures, hypotonia, loss of connection with the environment and maturational patterns. Our purpose is to alert about the importance of supplying vegan mothers with B12 before conception until the end of breastfeeding.
维生素B12缺乏是素食主义及其变体最严重的并发症之一。纯素食母亲所生的婴儿严重缺乏维生素B12的风险更高，且更容易受到其影响。患有神经症状的健康婴儿通常不会被儿科医生怀疑存在维生素B12缺乏。其表现是非特异性的：冷漠、拒食和发育模式丧失。母亲的营养史，主要是如果她是素食者，评估其储备对于检测幼儿缺乏这种维生素的风险至关重要。这项工作的目的是描述一组维生素B12缺乏且有严重神经功能损害的婴儿，即纯素食母亲的孩子：中枢性呼吸暂停、癫痫发作、肌张力减退、与环境和发育模式的联系丧失。我们的目的是提醒人们注意在受孕前至母乳喂养结束期间为纯素食母亲补充维生素B12的重要性。
