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J Korean Neurol Assoc. 1984 Dec;2(2):181-187. Korean. Case Report.
Hwang YM , Seonwoo IN , Kim KH , Koh YW .
Department of Neurology, College of Medicine, Yeonsei University.
Department of Internal Medicine, College of Medicine, Yeonsei University.
Abstract

This is a case report of pernicious anemia with neurologic deficits. The patient is a 69 years old male with generalized tingling sense. On examination, slight pale conjunctiva and beefy red tongue are noted. Laboratory stud show megaloblastic anemia with low serum vitamin B12 level, positive Schilling test, gastric achlorhydria and mild gastric atrophy. Neurologic examination reveals cerebral, spinal and peripheral involovement and EEG and EMG study support those things. On parenteral vitamin B12, the hematologic and neurological abnormalities are improved dramatically.

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