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Lupus
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Pernicious anemia in a young man with systemic lupus erythematosus

L. Benjilali

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco

Z. Tazi-Mezalek

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco, z.tazi{at}menara.ma

H. Harmouche

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco

K. Lebbar

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco

M. Aouni

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco

M. Adnaoui

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco

A. Maaouni

Department of Internal Medicine, Ibn Sina Hospital, Rabat, Morroco

Association of pernicious anemia and systemic lupus erythematosus is rare, although both diseases are autoimmune origin. We describe the case of a 40-year old man with systemic lupus erythematosus (SLE) who developed pernicious anemia. The cobalamin deficiency was revealed by macrocytic pancytopenia. After 1 month of vitamin B12 treatment, hemoglobin and white blood cell count remain normal but thrombocytopenia persists and was considered as immunologic from SLE origin requiring corticosteroids. Lupus (2007) 16, 827—829.

Key Words: autoimmunity • megaloblastosis • pernicious anemia • systemic lupus erythematosus

Lupus, Vol. 16, No. 10, 827-829 (2007)
DOI: 10.1177/0961203307081976
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