A clinical picture of a B12 deficienc... - Pernicious Anaemi...

Pernicious Anaemia Society

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A clinical picture of a B12 deficiency and PA explained.........

Jillymo profile image
16 Replies

Hopefully the following will be of interest to newbies on the sight and give a little insight of the condition and how to treat............ bmj.com/content/383/bmj-202...

What is a patient with a lack of B12 would have pa?

Pernicious anemia (PA) is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Red blood cells provide oxygen to body tissues.

What is the autoimmune disease associated with low B12?

Pernicious anemia is a relatively rare autoimmune disorder that causes diminishment in dietary vitamin B12 absorption, resulting in B12 deficiency and subsequent megaloblastic anemia. It affects people of all ages worldwide, particularly those over 60.

What organ is affected by B12 deficiency?

If vitamin B12 deficiency is left untreated, it can cause lasting serious side effects that affect the nervous system and brain. More severe side effects of vitamin B12 deficiency include: Peripheral neuropathy. Degeneration of the spinal cord.

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Jillymo profile image
Jillymo
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Budsa profile image
Budsa

Here, PA is described as a rare condition, whereas, in other publications it is described as the most frequent cause of B12D. I don't believe B12D is rare, so how can PA be rare if both starements are true?

Jillymo profile image
Jillymo in reply toBudsa

I also scratched my head at that one ! If that rare why are there 32,230 members on the forum ? I could understand it if they had quoted it's rare to find a Dr who understands the condition !

The mind boggles ! 😵‍💫

Hockey_player profile image
Hockey_player

I disagree with this definition: "Pernicious anemia (PA) is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12." This is what is going wrong: Intrinsic Factor (IF) is a glycoprotein produced and secreted by parietal cells that binds B12 and facilitates its transport to the terminal ileum for absorption. Anti-IF antibodies inhibit B12 from binding to IF, preventing B12/IF complex formation or binding to the B12/IF complex, preventing intestinal absorption.

The problem is that the intrinisic factor stops doing its job. The decrease in red blood cells is just a consequence of having insufficient B12 and is not the definition of PA.

Jillymo profile image
Jillymo in reply toHockey_player

Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. This picture shows large, dense, oversized, red blood cells (RBCs) that are seen in megaloblastic anemia. Megaloblastic anemia can occur when there is a deficiency of vitamin B-12.

Hockey_player profile image
Hockey_player in reply toJillymo

You can have PA and not have that symptom yet.

Jillymo profile image
Jillymo in reply toHockey_player

Do you have megoblastic anemia ? I do and my blood cells are enlarged. I gastrology investigations have shown I have issues with my the ileum !

Hockey_player profile image
Hockey_player in reply toJillymo

I did not get tested for it. Once you are treated with B12 and maybe folic acid, it should go away shouldn't it? my.clevelandclinic.org/heal...

Jillymo profile image
Jillymo in reply toHockey_player

Apparently so but I have been injecting daily and mine hasn't resolved as yet albeit I do have other autoimmund conditions.

Hockey_player profile image
Hockey_player in reply toJillymo

I hope everything gets better for you soon!

Hockey_player profile image
Hockey_player in reply toJillymo

Have you tried also taking Folate (vitamin B-9)? The article mentioned that some people need that in addition to B12. Maybe ask your doctor about it?

Jillymo profile image
Jillymo in reply toHockey_player

I have been prescribed folic acid by my heamatologist for many years which masked my dwindling B12 levels. I take a methyl folate.

Hockey_player profile image
Hockey_player in reply toJillymo

Here's an interesting article about megaloblastic anemia: ncbi.nlm.nih.gov/books/NBK5....

Jillymo profile image
Jillymo in reply toHockey_player

I have read that artical but thanks for posting I will take another look when I have more time I have a hospital appt today - oh joy.

Technoid profile image
Technoid in reply toHockey_player

Although non-specific to PA, antibodies to the gastric parietal cells may also be present in PA:

southtees.nhs.uk/services/p...

The same site also has a good page on intrinsic factor antibodies, which function as you explained Hockey_player .

southtees.nhs.uk/services/p...

I think the information about pernicious anemia and a decrease in red blood cells is from Mount Sinai:

mountsinai.org/health-libra...

Would agree that it's more that the low RBC count is a consequence rather than a cause - the autoimmune activity is the causal factor, which has many downstream effects.

Jillymo profile image
Jillymo in reply toTechnoid

Dont I know it ?

My autoimmune activity is running riot at present - mine is more of a river than a stream ! I have just been diagnosed with yet another autoimmune condition ' polymyalgia rheumatica'.

Surely I get a gold medal what with all the conditions I have to contend with. 🥇

Well done me. 👋

Technoid profile image
Technoid in reply toJillymo

😅

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