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Pernicious anemia in a young man with systemic lupus erythematosus
L Benjilali1, Z Tazi-Mezalek, H Harmouche
1Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco.
Abstract:
Association of pernicious anemia and systemic lupus erythematosus is rare, although both diseases are autoimmune origin. We describe the case of a 40-year old man with systemic lupus erythematosus (SLE) who developed pernicious anemia. The cobalamin deficiency was revealed by macrocytic pancytopenia. After 1 month of vitamin B12 treatment, hemoglobin and white blood cell count remain normal but thrombocytopenia persists and was considered as immunologic from SLE origin requiring corticosteroids.
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