Challenging illness scripts: a case of pernicious anaemia and axonal neuropathy.
| Autor: | Ahmed A; Internal Medicine, Florida State University College of Medicine, Tallahassee, Florida, USA., Ammar H; Internal Medicine, Florida State University College of Medicine, Tallahassee, Florida, USA h_ammar68@yahoo.com., Mageau R; Florida State University College of Medicine, Tallahassee, Florida, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2024 Aug 31; Vol. 17 (8). Date of Electronic Publication: 2024 Aug 31. |
| DOI: | 10.1136/bcr-2024-260967 |
| Abstrakt: | This case report presents a male in his 30s with pernicious anaemia, initially diagnosed with autoimmune haemolytic anaemia and thrombocytopenia. Despite improvement with treatment, he developed bilateral leg weakness and numbness, ultimately diagnosed as peripheral neuropathy. Further investigations revealed a spectrum of haematological and neurological manifestations associated with B12 deficiency, challenging the typical illness script of pernicious anaemia. This report underscores the importance of recognising variations in clinical presentation and highlights the need for expanded illness scripts to guide accurate diagnosis and management. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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