Unusual gastrointestinal features in a child with pernicious anemia

Pernicious anemia in childhood is a rare disease. The radiologic demonstration of gastric mucosal atrophy led directly to this diagnosis in an 11-year-old girl. In addition, there was deformity of the pyloric antrum and superficial ulceration in the stomach and duodenum. Endoscopy and biopsy confirmed these findings.