Eur J Pediatr. 1991 Jan;150(3):205-8.

Maternal vegan diet causing a serious infantile neurological disorder due to vitamin B12 deficiency.

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University Children's Hospital Basel, Switzerland.

Abstract

We present a 9-month-old exclusively breast-fed baby of a strict vegetarian mother who had excluded all animal proteins from her diet. The patient's symptoms included dystrophy, weakness, muscular atrophy, loss of tendon reflexes, psychomotor regression and haematological abnormalities. Biochemical investigations revealed severe methylmalonic aciduria and homocystinuria in the patient, slight methylmalonic aciduria in the mother and low concentrations of serum vitamin B12 in both patient and mother.

PMID:: 2044594; [PubMed - indexed for MEDLINE]

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[Metabolic complications and neurologic manifestations of vitamin B12 deficiency in children of vegetarian mothers]. [Cas Lek Cesk. 2001]
[Metabolic complications and neurologic manifestations of vitamin B12 deficiency in children of vegetarian mothers].
Smolka V, Bekárek V, Hlídková E, Bucil J, Mayerová D, Skopková Z, Adam T, Hrubá E, Kozich V, Buriánková L, et al. Cas Lek Cesk. 2001 Nov 22; 140(23):732-5.
A syndrome of methylmalonic aciduria, homocystinuria, megaloblastic anemia and neurologic abnormalities in a vitamin B12-deficient breast-fed infant of a strict vegetarian. [N Engl J Med. 1978]
A syndrome of methylmalonic aciduria, homocystinuria, megaloblastic anemia and neurologic abnormalities in a vitamin B12-deficient breast-fed infant of a strict vegetarian.
Higginbottom MC, Sweetman L, Nyhan WL. N Engl J Med. 1978 Aug 17; 299(7):317-23.
[Maternal vitamin B12 deficiency: cause for neurological symptoms in infancy]. [Z Geburtshilfe Neonatol. 2007]
[Maternal vitamin B12 deficiency: cause for neurological symptoms in infancy].
Lücke T, Korenke GC, Poggenburg I, Bentele KH, Das AM, Hartmann H. Z Geburtshilfe Neonatol. 2007 Aug; 211(4):157-61.
Review [Diagnosis of vitamin B12 deficiency revised]. [Ned Tijdschr Geneeskd. 2005]
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Review [Severe megaloblastic anemia in child breast fed by a vegetarian mother]. [Ann Pediatr (Paris). 1993]
Review [Severe megaloblastic anemia in child breast fed by a vegetarian mother].
Monfort-Gouraud M, Bongiorno A, Le Gall MA, Badoual J. Ann Pediatr (Paris). 1993 Jan; 40(1):28-31.

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Cited by 2 PubMed Central articles

Review Effects of vitamin B12 and folate deficiency on brain development in children. [Food Nutr Bull. 2008]
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Review Persistence of neurological damage induced by dietary vitamin B-12 deficiency in infancy. [Arch Dis Child. 1997]
Review Persistence of neurological damage induced by dietary vitamin B-12 deficiency in infancy.
von Schenck U, Bender-Götze C, Koletzko B. Arch Dis Child. 1997 Aug; 77(2):137-9.

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