Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant

Vitamin B12 (cobalamin) deficiency during infancy is seen most commonly in exclusively breast-fed infants born to mothers with inadequate vitamin B12 stores. In addition to megaoblastic anemia, physical, social and neuromotor retardation may be seen in affected patients. In severe cases, thrombocyto...

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Main Author: Ebru Yilmaz Keskin
Format: Article
Language:English
Published: Cukurova University 2016-03-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=196623
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author Ebru Yilmaz Keskin
author_facet Ebru Yilmaz Keskin
author_sort Ebru Yilmaz Keskin
collection DOAJ
description Vitamin B12 (cobalamin) deficiency during infancy is seen most commonly in exclusively breast-fed infants born to mothers with inadequate vitamin B12 stores. In addition to megaoblastic anemia, physical, social and neuromotor retardation may be seen in affected patients. In severe cases, thrombocytopenia and neutropenia may accompany anemia mimicking leukemia or aplastic anemia. Patients may rarely develop cerebral cortical atrophy evident on neuroimaging. In this article, a 12-month-old female infant with psychomotor developmental retardation who was referred to our hospital with the initial diagnosis of leukemia due to the finding of pancytopenia is presented. Further investigations revealed severe nutritional vitamin B12 deficiency in this case. Cranial magnetic resonance imaging (MRI) showed cerebral cortical atrophy. Replacement therapy with vitamin B12 resulted in marked improvement of psychomotor status, and cranial MRI performed 7 months following the diagnosis and treatment initiation revealed resolution of cortical atrophy. [Cukurova Med J 2016; 41(1.000): 152-160]
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spelling doaj.art-711a3ab9ed454ea1aaf55fa8352c62462023-02-15T16:22:13ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502016-03-0141115216010.17826/cutf.159211196623Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infantEbru Yilmaz Keskin0Samsun Egitim ve Arastirma Hastanesi Pediatrik Hematoloji ve OnkolojiVitamin B12 (cobalamin) deficiency during infancy is seen most commonly in exclusively breast-fed infants born to mothers with inadequate vitamin B12 stores. In addition to megaoblastic anemia, physical, social and neuromotor retardation may be seen in affected patients. In severe cases, thrombocytopenia and neutropenia may accompany anemia mimicking leukemia or aplastic anemia. Patients may rarely develop cerebral cortical atrophy evident on neuroimaging. In this article, a 12-month-old female infant with psychomotor developmental retardation who was referred to our hospital with the initial diagnosis of leukemia due to the finding of pancytopenia is presented. Further investigations revealed severe nutritional vitamin B12 deficiency in this case. Cranial magnetic resonance imaging (MRI) showed cerebral cortical atrophy. Replacement therapy with vitamin B12 resulted in marked improvement of psychomotor status, and cranial MRI performed 7 months following the diagnosis and treatment initiation revealed resolution of cortical atrophy. [Cukurova Med J 2016; 41(1.000): 152-160]http://www.scopemed.org/fulltextpdf.php?mno=196623Vitamin B12InfantPsychomotor developmentCortical atrophy
spellingShingle Ebru Yilmaz Keskin
Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Vitamin B12
Infant
Psychomotor development
Cortical atrophy
title Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant
title_full Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant
title_fullStr Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant
title_full_unstemmed Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant
title_short Disappearance of cerebral cortical atrophy following replacement therapy with vitamin B12 in an infant
title_sort disappearance of cerebral cortical atrophy following replacement therapy with vitamin b12 in an infant
topic Vitamin B12
Infant
Psychomotor development
Cortical atrophy
url http://www.scopemed.org/fulltextpdf.php?mno=196623
work_keys_str_mv AT ebruyilmazkeskin disappearanceofcerebralcorticalatrophyfollowingreplacementtherapywithvitaminb12inaninfant