Affiliations: Department of Pediatrics, Army Hospital, Research and
Referral, Delhi, India | Department of Radiology, Army Hospital, Research and
Referral, Delhi, India
Note: [] Correspondence: Dr. Lokesh Chauhan, Department of Pediatrics,
Army Hospital (Research & Referral), Delhi Cantt., New Delhi 110010,
India. Tel.: +91 9711163770; E-mail: lokeshchauhan07@gmail.com
Abstract: Subacute combined degeneration of spinal cord is a rare neurological
manifestation of vitamin B12 deficiency due to inadequate dietary intake in
children. We report a case of 4.5-year-old girl who was vegan with
developmental regression, hyperpigmentation over extremities and features of
subacute combined degeneration of spinal cord, a rarity in children. Laboratory
investigations and neuroimaging were confirmatory. She responded well to
treatment and she is having no complaints at present.
Keywords: Vitamin B12, subacute combined degeneration of cord, hyperpigmentation
