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Pernicious Anemia and Vitiligo in an HIV Patient: An Unfamiliar Case Presentation
Katongo Mutengo1, Francis Mupeta2, Owen Ngalamika3
1Department of Internal Medicine, Livingstone Central Hospital, Ministry of Health, Livingstone, Zambia.
Abstract:
Pernicious anemia (PA) is a rarely considered cause of anemia in HIV-infected population and is seldom on the list of differential diagnoses. However, PA can have serious consequences if misdiagnosed or left untreated. We present the case of a 38-year-old HIV-positive man who was diagnosed with PA, which was preceded by a one-year history of vitiligo. Our case is a reminder for clinicians to have a high index of suspicion for an autoimmune process as a potential cause of anemia in HIV-infected individuals.
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