TY - JOUR
T1 - Hematologic manifestations of nutritional deficiencies
T2 - Early recognition is essential to prevent serious complications
AU - Yu, Jennifer C.
AU - Shliakhtsitsava, Ksenya
AU - Wang, Yun Zu M.
AU - Paul, Megan
AU - Farnaes, Lauge
AU - Wong, Victor
AU - Kim, Jenny
AU - Thornburg, Courtney D.
N1 - Publisher Copyright:
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Nutritional deficiencies, including deficiencies of vitamin B12, copper, and vitamin C, may result in cytopenias and hematologic symptoms. Early recognition of these deficiencies is imperative for prompt treatment and improvement in hematologic and other manifestations. We describe 5 cases which illustrate the hematologic manifestations of nutritional deficiencies and challenges to initial diagnosis and management. Supplementation of the deficient vitamin or micronutrient in all of these cases resulted in rapid resolution of cytopenias, hemorrhage, and other associated hematologic symptoms. We also review other nutritional deficiencies that manifest with hematologic symptoms and compile recommendations on treatment and expected time to response.
AB - Nutritional deficiencies, including deficiencies of vitamin B12, copper, and vitamin C, may result in cytopenias and hematologic symptoms. Early recognition of these deficiencies is imperative for prompt treatment and improvement in hematologic and other manifestations. We describe 5 cases which illustrate the hematologic manifestations of nutritional deficiencies and challenges to initial diagnosis and management. Supplementation of the deficient vitamin or micronutrient in all of these cases resulted in rapid resolution of cytopenias, hemorrhage, and other associated hematologic symptoms. We also review other nutritional deficiencies that manifest with hematologic symptoms and compile recommendations on treatment and expected time to response.
KW - Copper
KW - Cytopenias
KW - Hemorrhage
KW - Nutritional deficiencies
KW - Vitamin B
UR - http://www.scopus.com/inward/record.url?scp=85055335310&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055335310&partnerID=8YFLogxK
U2 - 10.1097/MPH.0000000000001338
DO - 10.1097/MPH.0000000000001338
M3 - Article
C2 - 30339653
AN - SCOPUS:85055335310
SN - 1077-4114
VL - 41
SP - E182-E185
JO - Journal of Pediatric Hematology/Oncology
JF - Journal of Pediatric Hematology/Oncology
IS - 3
ER -