Megaloblastic anemia in the presence of normal Folic acid and B12- A case report

Case details

A 6-month-old infant is seen by the pediatrician for developmental delay. Blood work shows megaloblastic anemia, although measurements of B12 and folate are in the high normal range. Urinalysis demonstrates, upon standing, the formation of a crystalline substance. Supplementation of the child’s diet with uridine reversed virtually all of the clinical problems. The crystalline substance was most likely composed of which of the following?

A. Uracil

B. Thymine

C. Orotate

D. Aspartate

E. Cytosine

Megaloblastic anemia and macocytosis

 

Figure- Megaloblastic anemia and macrocytosis

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http://usmle.biochemistryformedics.com/megaloblastic-anemia-in-the-presence-of-normal-folic-acid-and-vitamin-b12-case-discussion/

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