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Pernicious anaemia among Arabs in Kuwait
Journal of Clinical Pathology
|October 1, 1970
Summary
Addisonian pernicious anaemia, though rare in Arab populations, was observed in three cases. Prompt vitamin B12 therapy led to remarkable recovery and sustained normal hemoglobin levels in all patients.
Area of Science:
- Hematology
- Gastroenterology
- Internal Medicine
Background:
- Addisonian pernicious anaemia is considered rare in Arab populations.
- Previous literature suggests limited prevalence in this demographic.
Purpose of the Study:
- To report three cases of Addisonian pernicious anaemia in Arab patients.
- To highlight the clinical presentation and treatment response in this underreported group.
Main Methods:
- Case series reporting on three patients of Arab descent.
- Clinical evaluation including peripheral blood smear, bone marrow biopsy, and Schilling test.
- Assessment of response to vitamin B12 therapy.
Main Results:
- Three cases of pernicious anaemia were identified in Jordanian and Egyptian patients.
- All patients presented with macrocytosis, megaloblastic bone marrow, and positive Schilling test.
- Remarkable hematological improvement and sustained normal hemoglobin levels were observed following vitamin B12 treatment.
- No evidence of gastric carcinoma was found in any of the reported cases.
Conclusions:
- Addisonian pernicious anaemia can occur in Arab populations, contrary to previous beliefs.
- Vitamin B12 therapy is effective in managing pernicious anaemia in this demographic.
- Early diagnosis and treatment are crucial for favorable outcomes.
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