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[Pernicious anemia in a thalassemic patient - difficulties of the diagnosis]
Barnabás Kurdi1, Zoltán András Mezei2, Ádám Kellner3
1Általános Belgyógyászati Osztály, Somogy Megyei Kaposi Mór Oktató Kórház Kaposvár.
Abstract:
The bone marrow aspiration, which was done in a leukopenic, hypochromic, microcytic, progressive anemic, thalassemic patient, revealed megaloblastic morphology. The low level of vitamin B12 and the reticulocytosis following the B12 supportation strenghtened the diagnosis of pernicious anemia. The set of the right diagnosis has been delayed by the fact that even in severe anemia one could not obtain the typical signs of B12 deficiency, having a hypochromic, microcytic erythrocyte morphology, due to the thalassemia minor disorder. Orv Hetil. 2018; 159(33): 1368-1371.
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