Twin Premature Infants With Riboflavin and Biotin Deficiency Presenting With Refractory Lactic Acidosis, Rash, and Multiorgan Failure During Prolonged Parenteral Nutrition

Report on monochorionic, diamniotic twin premature infants born at 25 weeks and 6 days gestation with riboflavin and biotin deficiency, while on prolonged total parenteral nutrition during vitamin shortage.