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Correspondence
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Volume 344:1949-1950 June 21, 2001 Number 25
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Case 40-2000: Gastric Cancer in a Young Woman

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To the Editor: We were surprised that the diagnosis of pernicious anemia in Case 40-2000 (Dec. 28 issue)1 was based only on a mean corpuscular volume of 104 µm3, the presence of atrophic gastritis, and a serum B12 level of 115 pg per milliliter. For a diagnosis of pernicious anemia, there must be antibodies to intrinsic factor in the serum or evidence of inadequate absorption of vitamin B12 that is correctable by the administration of oral intrinsic factor (as determined by the Schilling test). These are the gold standards.

In the case discussed, there is no description of the . . . [Full Text of this Article]

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