Compromiso neurológico y hematológico por déficit de vitamina B12 en lactante hijo de madre vegetariana: Caso Clínico

Autor: Marcela Paredes M, Judith Ibarra C, Paulina Bravo J
Jazyk: Spanish; Castilian
Rok vydání: 2014
Předmět:
Zdroj: Revista chilena de pediatría v.85 n.3 2014
SciELO Chile
CONICYT Chile
instacron:CONICYT
Popis: Hematological and neurological compromise due to vitamin B12 deficit in infant of a vegetarian mother: case report introduction : Vitamin B12 deficiency is extremely common in strict vegetarians and their variants. Infants of vegetarian mothers have a higher risk of deficiency and are more prone to its effects. Objective: To report a case in order to warn people about the importance of suspected vitamin B12 deficiency in children of vegeta-rian mothers. case report : A 12-month old infant, daughter of a longtime vegetarian woman, who presented neurological and hematological compromise due to vitamin B12 deficiency, is discussed. After a short period of parenteral administration of cyanocobalamin and enteral nutrition, the patient evolved with clinical and laboratory improvement, although she still had residual development delay. conclusions : Vitamin B12 defi-ciency is often not suspected by the pediatrician in healthy infants. Clinical manifestations can be nonspecific, such as apathy, food refusal and progressive impairment of psychomotor development. A nutritional anamnesis performed on the mother (with great emphasis on those strict vegetarians) to estimate her reserves in the period prior to, during and after delivery can be critical to detect the risk of this vitamin deficiency in young children.(Key words: Vitamin B12, vegetarianism, megaloblastic anemia, delayed psychomotor development).Rev Chil Pediatr 2014; 85 (3): 337-343resumenIntroduccion: La deficiencia de vitamina B12 es una de las complicaciones delvegetarianismo y sus varian -tes. Los lactantes de madres vegetarianas tienen mayor riesgo de deficiencia y son mas labiles a sus efectos. Objetivo: Relatar un caso para alertar sobre la importancia de la sospecha de deficiencia de vitamina B12 en hijos de madres con habito vegetariano. Caso clinico: Se presenta una lactante de 12 meses, hija de una mujer
Databáze: OpenAIRE