Korean J Med.  1997 Apr;52(4):570-574.

A Case of Pernicious Anemia with Positive Anti Intrinsic Factor Antibody and Antiparietal Cell Antibody

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
  • 2Department of Clinical Pathology, Hallym University College of Medicine, Chuncheon, Korea.

Abstract

We present a case of pernicious anemia without history of operation in 52 year old female. She suffered from oral ulcer, gum bleeding, nausea, vomiting, and beefy tongue. She had dysesthesia on the both arm and foot, and hypesthesia of global and stocking type by neurologic examination. Laboratory findings were as follows: serum cobalamin 9.1 pg/mL (normal range: 180-710pg/mL), anti intrinsic factor antibody (strong positive), antiparietal cell Antibody 1:10 (positive), first stage of Schilling test (1.4%). The findings of peripheral blood and bone marrow were compatible with megaloblastic anemia. We report a case of pemicious anemia with positive anti intrinsic factor antibody and antiparietal cell antibody.

Keyword

Megaloblastic anemia; Pernicious anemia; cobalamin deficiency

MeSH Terms

Anemia
Anemia, Megaloblastic
Anemia, Pernicious*
Arm
Bone Marrow
Female
Foot
Gingiva
Hemorrhage
Humans
Hypesthesia
Intrinsic Factor*
Middle Aged
Nausea
Neurologic Examination
Oral Ulcer
Paresthesia
Schilling Test
Tongue
Vitamin B 12
Vomiting
Intrinsic Factor
Vitamin B 12
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