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Anemia and intestinal dysfunction in former residents of the Caribbean.
Arch Intern Med. 1977 Feb; 137(2):181-6.AI

Abstract

A group of subjects had common features of megaloblastic anemia due to vitamin B12 deficiency, normal or high serum folate, and evidence of intestinal malabsorption. They were all former residents of the Caribbean area now living in New York City. Despite similar symptoms and diagnostic studies, two subjects were found to have pernicious anemia and three to have tropical sprue. Achlorhydria, serum anti-intrinsic factor antibody, the severity of small intestinal abnormalities, and posttherapy Schilling tests were helpful differential factors. These subjects illustrate the problems that may be encountered in differentiating tropical sprue and pernicious anemia.

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Publisher Full Text

Authors

Meyers S
No affiliation info available
Schweitzer P
No affiliation info available
Gerson CD
No affiliation info available

MeSH

AdultAgedAnemia, MacrocyticAnemia, MegaloblasticAnemia, PerniciousDiagnosis, DifferentialFemaleFolic AcidHumansJejunumMaleMiddle AgedPuerto RicoSprue, TropicalUnited StatesVitamin B 12 Deficiency

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

836116

Citation

Meyers, S, et al. "Anemia and Intestinal Dysfunction in Former Residents of the Caribbean." Archives of Internal Medicine, vol. 137, no. 2, 1977, pp. 181-6.
Meyers S, Schweitzer P, Gerson CD. Anemia and intestinal dysfunction in former residents of the Caribbean. Arch Intern Med. 1977;137(2):181-6.
Meyers, S., Schweitzer, P., & Gerson, C. D. (1977). Anemia and intestinal dysfunction in former residents of the Caribbean. Archives of Internal Medicine, 137(2), 181-6.
Meyers S, Schweitzer P, Gerson CD. Anemia and Intestinal Dysfunction in Former Residents of the Caribbean. Arch Intern Med. 1977;137(2):181-6. PubMed PMID: 836116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anemia and intestinal dysfunction in former residents of the Caribbean. AU - Meyers,S, AU - Schweitzer,P, AU - Gerson,C D, PY - 1977/2/1/pubmed PY - 1977/2/1/medline PY - 1977/2/1/entrez SP - 181 EP - 6 JF - Archives of internal medicine JO - Arch Intern Med VL - 137 IS - 2 N2 - A group of subjects had common features of megaloblastic anemia due to vitamin B12 deficiency, normal or high serum folate, and evidence of intestinal malabsorption. They were all former residents of the Caribbean area now living in New York City. Despite similar symptoms and diagnostic studies, two subjects were found to have pernicious anemia and three to have tropical sprue. Achlorhydria, serum anti-intrinsic factor antibody, the severity of small intestinal abnormalities, and posttherapy Schilling tests were helpful differential factors. These subjects illustrate the problems that may be encountered in differentiating tropical sprue and pernicious anemia. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/836116/Anemia_and_intestinal_dysfunction_in_former_residents_of_the_Caribbean_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/137/pg/181 DB - PRIME DP - Unbound Medicine ER -