Saturday, June 6, 2009

Understanding Pernicious Anemia

Intrinsic factor, a glycoprotein secreted from paretal cells in the stomach, is responsible for forming a complex with cobalamin (B12) to then bind to an ileal receptor for absorption (1p1184). Lack of ability to secrete intrinsic factor results in pernicious anemia, a megaloblastic anemia from cobalamin deficiency(1;2). Pernicious anemia therapy often requires parenteral cobalamin or oral cobalamin in high enough doses (1).

Identifying megaloblastic anemia in a Complete Blood Count:

RBC - Decreases
Hb - Decreases
MCV - Increases
MCH - Stays the Same
MCHC - Stays the Same


Reference List

1. Modern Nutrition in Health and Disease. Baltimore, MD: Lippincott Williams & Wilkins, 2009.
2. Saladino, C. "Week 1 Lecture, Part 1." Clinical Biochemistry [Lecture Series], 2009.
3. "Complete Blood Count". Available at Accessed on June 06, 2009.