hrp0097p2-111 | Thyroid | ESPE2023

Thiamine responsive megaloblastic anemia with hypothroidism, a puzzling association, a case report from LMIC

Rani Rai Versha , Nasir Nasir , Rahore Heeranand , Noor Ibrahim Mohsina , Chachar Saadullah , Riaz Maira

Introduction: Thiamine responsive megaloblastic anemia (TRMA) is a rare autosomal recessive condition caused by mutations in SLC19A2 gene and is classically characterized by the triad of diabetes mellitus, sensorineural hearing loss and megaloblastic anemia. It usually presents between infancy and adolescence but the cardinal findings are often not present initially. The anemia, and sometimes the diabetes improves with high doses of thiamine. Apart from the cl...