KMID : 0311119670080010071
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Yonsei Medical Journal 1967 Volume.8 No. 1 p.71 ~ p.76
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Juvenile Pernicious Anemia in Sisters
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Yun Duk-Jin
Lee Hyun Chun Goeng-Pil Lee Ki-Young
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Abstract
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Two cases of juvenile pernicious anemia in Korean sisters have been followed for 4 years since 7 years and 4 years of age respectively. The symptoms and signs were pale facies, general malaise, sore tongue, anorexia, frequent febrile episodes, macrocytic hyperchromic anemia, thrombocytopenia, multilobulated leucocytes with more than 6 lobules and megaloblastic proliferation in bone marrow aspiration. Dramatic hematological response to the parenteral administration of vitamin B12 with a significantly increased excretion rate of vitamin Bl2 by Schilling test as shown by an increase from 0 to 11.6% in elder sister and from 0 to 5.6% in younger sister with the addition of commercial intrinsic factor were demonstrated.
These findings are compatible with the characteristics of juvenile pernicious anemia resulting from defect of Cast1e¡¯s intrinsic factor.
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KEYWORD
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