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Severe Pernicious Anemia: A Case Report
Leonor Simões Raposo1, Andreia Pacheco2, Maria Mendes2
1General Practice, Family Unit Conde de Oeiras, Western Lisbon Local Health Unit, Lisbon, PRT.
Pernicious anemia, an autoimmune condition, causes vitamin B12 deficiency by hindering absorption. Early diagnosis and B12 replacement therapy in primary care significantly improve patient quality of life.
Area of Science:
- Internal Medicine
- Hematology
- Immunology
Background:
- Pernicious anemia is an autoimmune disorder causing vitamin B12 deficiency.
- Impaired vitamin B12 absorption is a key characteristic of this condition.
- It is an infrequent but significant cause of vitamin B12 deficiency.
Observation:
- Clinical symptoms are often subtle, non-specific, and can be debilitating.
- Fatigue and asthenia are common presenting complaints in primary care.
- Delayed diagnosis is frequent due to the non-specific nature of symptoms.
Findings:
- Early recognition in primary care is crucial for timely diagnosis.
- Appropriate vitamin B12 replacement therapy leads to patient recovery.
- Timely laboratory investigations are vital for early disease detection.
Implications:
- Highlights the importance of thorough clinical evaluation for non-specific symptoms.
- Emphasizes the role of primary care in identifying and managing pernicious anemia.
- Underscores the need for prompt laboratory testing to prevent severe complications.
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