The Japanese Journal of Pediatric Hematology
Online ISSN : 1884-4723
Print ISSN : 0913-8706
ISSN-L : 0913-8706
A Case of Megaloblastic Anemia Caused by Folic Acid Deficiency Due to Poor Diet
Tetsuo KUROMITakashi OZAKIMasanori NAMBAYoshiyasu YAGUCHITadashi IMAISusumu ITOH
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2003 Volume 17 Issue 6 Pages 487-491

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Abstract
We report a one year and ten months old boy who had folic acid deficiency megaloblastic anemia caused by poor diet. Anemia can result from deficiency of folic acid, one of the important dietary nutrients. In typical cases of megaloblastic anemia, megaloblasts appear in the bone marrow due to impaired DNA synthesis, thus resulting into megaloblastic anemia. However, our patient who was already put on folic acid-rich diet by his previous physician did not show these typical bone marrow features but his serum folic acid concentration (before folic acid administration) was low. We made a diagnosis of nutritional folic acid deficiency megaloblastic anemia. Adherence to a well balanced diet and regulated life style during the period of hospitalization resulted in improvement of his anemia.
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