Case Report: severe pulmonary hypertension in a child with micronutrient deficiency

We describe the rare case of a previously healthy seven year-old boy, with an acute clinical onset of severe pulmonary hypertension. He recovered rapidly after vitamin supplementation. Patient history showed a highly selective food intake in the context of autistic features. Thiamine deficiency seem...

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Main Authors: Laure Pache-Wannaz, Cristiana Voicu, Laurence Boillat, Nicole Sekarski
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1478889/full
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author Laure Pache-Wannaz
Cristiana Voicu
Laurence Boillat
Nicole Sekarski
author_facet Laure Pache-Wannaz
Cristiana Voicu
Laurence Boillat
Nicole Sekarski
author_sort Laure Pache-Wannaz
collection DOAJ
description We describe the rare case of a previously healthy seven year-old boy, with an acute clinical onset of severe pulmonary hypertension. He recovered rapidly after vitamin supplementation. Patient history showed a highly selective food intake in the context of autistic features. Thiamine deficiency seemed to be the predominant causing factor aggravated by moderate iron deficiency and supposed vitamin C deficiency. Dietary impact on pulmonary pressures is still poorly understood, but it seems that micronutrient deficiency could be a rare cause of pulmonary hypertension. Relatively frequent in developing countries and mostly in infants, thiamine deficiency should not be forgotten as a potential etiology in the differential diagnosis when patient dietary history is particular.
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spelling doaj-art-3e8241da4d564ae3be81eb88203e9d712025-01-31T06:40:15ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011310.3389/fped.2025.14788891478889Case Report: severe pulmonary hypertension in a child with micronutrient deficiencyLaure Pache-Wannaz0Cristiana Voicu1Laurence Boillat2Nicole Sekarski3Pediatric Cardiology, Women-Mother-Child Department, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandPediatric Cardiology, Women-Mother-Child Department, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandPediatric Intensive Care Unit, Women-Mother-Child Department, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandPediatric Cardiology, Women-Mother-Child Department, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandWe describe the rare case of a previously healthy seven year-old boy, with an acute clinical onset of severe pulmonary hypertension. He recovered rapidly after vitamin supplementation. Patient history showed a highly selective food intake in the context of autistic features. Thiamine deficiency seemed to be the predominant causing factor aggravated by moderate iron deficiency and supposed vitamin C deficiency. Dietary impact on pulmonary pressures is still poorly understood, but it seems that micronutrient deficiency could be a rare cause of pulmonary hypertension. Relatively frequent in developing countries and mostly in infants, thiamine deficiency should not be forgotten as a potential etiology in the differential diagnosis when patient dietary history is particular.https://www.frontiersin.org/articles/10.3389/fped.2025.1478889/fullcase reportpulmonary hypertensionthiamine deficiencymicronutrient deficiencyvitamin supplementationselective food behavior
spellingShingle Laure Pache-Wannaz
Cristiana Voicu
Laurence Boillat
Nicole Sekarski
Case Report: severe pulmonary hypertension in a child with micronutrient deficiency
Frontiers in Pediatrics
case report
pulmonary hypertension
thiamine deficiency
micronutrient deficiency
vitamin supplementation
selective food behavior
title Case Report: severe pulmonary hypertension in a child with micronutrient deficiency
title_full Case Report: severe pulmonary hypertension in a child with micronutrient deficiency
title_fullStr Case Report: severe pulmonary hypertension in a child with micronutrient deficiency
title_full_unstemmed Case Report: severe pulmonary hypertension in a child with micronutrient deficiency
title_short Case Report: severe pulmonary hypertension in a child with micronutrient deficiency
title_sort case report severe pulmonary hypertension in a child with micronutrient deficiency
topic case report
pulmonary hypertension
thiamine deficiency
micronutrient deficiency
vitamin supplementation
selective food behavior
url https://www.frontiersin.org/articles/10.3389/fped.2025.1478889/full
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