Abstract
Vitamin B12 deficiency in children often under reported and usually presents with nonspecific manifestations like neuropsychiatric symptoms, anaemia, glossitis and chronic diarrhoea. Vegetarianism, minimal intake of animal products, poverty and malnutrition may lead to vitamin B12 deficiency. Laboratory reports often show pancytopenia, megaloblasts in bone marrow and low serum cynocobalamine. Injectable vitamin B12 is the treatment of choice. We would like to highlight this case report in view of vitamin B12 deficiency presenting as diarrhoea.
Highlights
Chronic diarrhoea is a common problem among children
Though vitamin B12 deficiency affects most of the systems, macrocytic anaemia is the classic presentation of Vitamin B12 deficiency.[3]
Clinical examination findings and laboratory investigation reports, she was diagnosed as a case of chronic diarrhoea with vitamin B12 deficiency megaloblastic anaemia
Summary
Chronic diarrhoea is a common problem among children. Most authors agree with 14 days of symptoms as criteria for chronic diarrhoea while others use a cutoff of four weeks.[1]. Vomiting was non projectile in nature, two to three episodes per day containing ingested food particles, non-bilious and not stained with blood Abdominal ultra-sonograph and barium meal follow through were normal With all these history, clinical examination findings and laboratory investigation reports, she was diagnosed as a case of chronic diarrhoea with vitamin B12 deficiency megaloblastic anaemia. Clinical examination findings and laboratory investigation reports, she was diagnosed as a case of chronic diarrhoea with vitamin B12 deficiency megaloblastic anaemia She was treated with injection cyanocobalamine (1000 mcg intramuscular daily for three days, on weekly basis). She was discharged on injection cyanocobalamine weekly for three more weeks and advised for follow up after
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