Images in clinical medicine. Vitiligo and pernicious anemia

A 45-YEAR-OLD WOMAN WITH A 17-YEAR HISTORY OF VITILIGO (PANEL A) was evaluated because of persistent fatigue. She was found to have pancytopenia (white-cell count, 3200 per cubic millimeter; hemoglobin level, 8.1 g per deciliter; and platelet count, 147,000 per cubic millimeter) with macrocytosis (m...

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Veröffentlicht in:	The New England journal of medicine 2004-06, Vol.350 (26), p.2698-2698
Hauptverfasser:	Egli, Fritz, Walter, Roland
Format:	Artikel
Sprache:	eng
Schlagworte:	Anemia, Pernicious - blood Anemia, Pernicious - diagnosis Anemia, Pernicious - etiology Autoimmune Diseases - complications Autoimmune Diseases - diagnosis Female Folic Acid - blood Gastritis, Atrophic - complications Gastritis, Atrophic - diagnosis Humans Middle Aged Vitamin B 12 - blood Vitiligo - complications Vitiligo - immunology
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Zusammenfassung:	A 45-YEAR-OLD WOMAN WITH A 17-YEAR HISTORY OF VITILIGO (PANEL A) was evaluated because of persistent fatigue. She was found to have pancytopenia (white-cell count, 3200 per cubic millimeter; hemoglobin level, 8.1 g per deciliter; and platelet count, 147,000 per cubic millimeter) with macrocytosis (mean corpuscular volume, 125 µm^sup 3^) and hypersegmented polymorphonuclear leukocytes (Panel B; hematoxylin and eosin, × 100).
ISSN:	0028-4793 1533-4406