Dipa Saha, Richmond Ronald Gomes, Chinmoy Kumar Saha, Kazi Selim Anwar4
Megaloblastic anemia and neurological manifestations are the hallmarks of Vitamin B12 deficiency. Pancytopenia is less frequently observed in vitamin B12 deficiency. We reported a case of 21-year-old boy with quadriplegic CP and epilepsy presented with poor feeding, generalized weakness and progressive pallor for 8 months. He was found to have Pancytopenia. Extensive workup revealed low vitamin B12 level secondary to nutritional deficiency. Vitamin B12 deficiency should be ruled out in all patients presenting with unexplained pancytopenia.