Massive Splenomegaly, Pancytopenia and Leucoerythroblastosis as Presentation of Megaloblastic Anemia

Megaloblastic anaemia is commonly a disease of nutritional deficiency. Its usual presentations are fatigue, paleness and recurrent infections. Megaloblastic anemia rarely presents with splenomegaly and moreover there is only mild to moderate splenomegaly. There are few cases reports of megaloblastic anaemia with splenomegaly as a presenting feature. We report an unusual presentation with massive splenomegaly and leuco-erythroblastosis in a child with megaloblastic anemia as cause.