Vomiting as a Presenting Symptom of Infantile Vitamin B12 Deficiency

被引：1
|
作者：
Wong, Sienna [1 ]
Ahmad, Nabeeha [1 ,2 ]
Rossetti, Allison L. [1 ,2 ]
机构：
[1] Ohio State Univ, Wexner Med Ctr, Dept Internal Med, Columbus, OH 43210 USA
[2] Nationwide Childrens Hosp, Dept Internal Med, Columbus, OH 43205 USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 05期
关键词：
failure to thrive; vitamin b12 deficiency; vomiting in infants; infantile vitamin deficiency; exclusive breast feeding;
D O I：
10.7759/cureus.25134
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
An 8-month-old, exclusively breastfed girl presented with a five-month history of vomiting with subsequent failure to thrive and lethargy. Family history was notable for the maternal history of gastroschisis. Mother had no dietary restrictions and had successfully breastfed multiple children for >12 months without issue. Initial evaluation was notable for macrocytic anemia. Subsequent serum B-12 levels were undetectable. Upon further questioning, the mother had significant bowel resection as an infant due to complications of gastroschisis. Maternal serum B-12 levels were also undetectable. The infant's symptoms resolved with supplementation.
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页数：4
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