Pearson syndrome (PS), a rare multisystem mitochondrial disorder caused by single large-scale DNA (mtDNA) deletions (SLSMDs), commonly presents with anaemia in infancy.1, 2 Progressive multi-organ dysfunction such as lactic acidosis, pancreatic and renal dysfunction, failure to thrive endocrine disorders can develop during the course.1, 3 Interestingly, often resolves spontaneously; frequency p...