6th February 2024

A 17-year-old female presented with severe lethargy, dizziness, and weakness.

A 17-year-old female presented with severe lethargy, dizziness, and weakness. She has a history of anxiety, self-harm and anorexia. On examination, she looks pale and has splenomegaly on palpation; however, her abdomen is otherwise soft.

Her biochemical investigations show:


Haemoglobin	72 g/L
Platelets	150 *109 /L
WCC	5 * 109 /L
MCV	76 fL
Bone marrow aspirate	Sideroblasts

What vitamin deficiency is the underlying cause of this presentation?

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