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Transcobalamin deficiency: vitamin B12 deficiency with normal serum B12 levels.


ABSTRACT: Transcobalamin (TC) deficiency is a rare autosomal recessive inborn error of cobalamin transport which clinically manifests in early infancy. We describe a child with TC deficiency who presented with classical clinical and lab stigmata of inborn error of vitamin B12 metabolism except normal serum B12 levels. He was started on empirical parenteral cobalamin supplements at 2 months of age; however, the definitive diagnosis could only be established at 6 years of age when a genetic evaluation revealed homozygous nonsense variation in exon 8 of the TCN2 gene (chr22:g.31019043C>T).

SUBMITTER: Khera S 

PROVIDER: S-EPMC6827761 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Transcobalamin deficiency: vitamin B<sub>12</sub> deficiency with normal serum B<sub>12</sub> levels.

Khera Sanjeev S   Pramanik Suman Kumar SK   Patnaik Saroj Kumar SK  

BMJ case reports 20191030 10


Transcobalamin (TC) deficiency is a rare autosomal recessive inborn error of cobalamin transport which clinically manifests in early infancy. We describe a child with TC deficiency who presented with classical clinical and lab stigmata of inborn error of vitamin B<sub>12</sub> metabolism except normal serum B<sub>12</sub> levels. He was started on empirical parenteral cobalamin supplements at 2 months of age; however, the definitive diagnosis could only be established at 6 years of age when a ge  ...[more]

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