Deficiency in anti pernicious factor

Deficiency in anti pernicious factor

A 69-year-old patient with a history of high blood pressure on a well-balanced treatment for 25 years, a driver of gear. who presents with anemic syndrome with jaundice, transfused by two red blood cells and address to the hematology department.

At the clinical examination:

Patient in good general condition, moderately mucous cutaneous paleness, moderate jaundice.

Without digestive syndrome.

Without neurological syndrome.

Without tumor syndrome.

Without hemorrhagic syndrome.

The rest of the clinical examination is without peculiarities.

Blood smear stained with Wright-Giemsa stain

Blood smear stained with Wright-Giemsa stain

Bone marrow aspirate smear stained with Wright-Giemsa stain

Bone marrow aspirate smear stained with Wright-Giemsa stain

Bone marrow aspirate smear stained with Wright-Giemsa stain

Bone marrow aspirate smear stained with Wright-Giemsa stain