Article1 October 1940PREVENTION OF PERNICIOUS ANEMIA: RECOGNITION OF THE LATENT STAGE IN RELATIVESJOHN MARTIN ASKEY, F.A.C.P.JOHN MARTIN ASKEY, F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-4-593 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe diagnosis of Addisonian pernicious anemia ordinarily is made over a year after symptoms have been definitely established.1 About 75 per cent of patients with this disease have involvement of the nervous system,2, 3 and this condition is often recognized too late to prevent partially disabling nervous system lesions. The deaths attributable to pernicious anemia are due largely to complications of these lesions. Treatment may prevent further progress but cannot correct irreparable spinal cord damage.The challenge for the future must be to diagnose pernicious anemia before the appearance of blood and nervous system changes. This will inaugurate an era...Bibliography1. MINOT GR: Some aspects of the diagnosis of pernicious anemia, Med. Clin. N. Am., 1935, xviii, 935-944. Google Scholar2. SMITHBURNZERFAS KCLG: Neural symptoms and signs in pernicious anemia; effects of liver extract, Arch. Neurol. and Psychiat., 1931, xxv, 1100-1110. CrossrefGoogle Scholar3. BAKERBORDLEYLONGCOPE BMJWT: Effect of liver therapy on neurologic manifestations of pernicious anemia, Am. Jr. Med. Sci., 1932, clxxxiv, 1-24. Google Scholar4. MEULENGRACHT E: Heredity factor in pernicious anemia, Am. Jr. Med. Sci., 1925, clxix, 177-195. Google Scholar5. MACKLIN MT: Role of heredity in disease, Medicine, 1935, xiv, 1-75. CrossrefGoogle Scholar6. CONNER HM: Hereditary aspect of achlorhydria in pernicious anemia; study of gastric acidity in 154 relatives of 109 patients having pernicious anemia, Jr. Am. Med. Assoc., 1930, xciv, 606-612. CrossrefGoogle Scholar7. MOSCHCOWITZ E: Relation of achlorhydria to pernicious anemia, Arch. Int. Med., 1931, xlviii, 171-186. CrossrefGoogle Scholar8. HARTFALLWITTS SJLJ: Gastric secretion in simple achlorhydria and allied anaemias, Guy's Hosp. Rep., 1933, lxxxiii, 3-23. Google Scholar9. RIDDER O: Achylia gastrica und familiäres Vorkommen von Bluterkrankungen, insbesondere Anaemia perniciosa, München. med. Wchnschr., 1936, lxxxiii, 138-139. Google Scholar10. LIEPELT A: Ueber familiäre Spinalerkrankung bei familiärer Biermer'scher Anamie, Deutsch. Ztschr. f. Nervenh., 1926, xc, 201-209. CrossrefGoogle Scholar11. FRANK H: Erblichkeit der Anaemia perniciosa und Beobachtung an eineiigen Zwillingen, Deutsch. Arch. f. klin. Med., 1933, clxxv, 96-107. Google Scholar12. WINTERNITZ L: Sui fattori ereditari nella genesi delle malattie del sangue con particolare riguardo all' anemia perniciosa, Haematologica, I. Arch., 1932, xiii, 169-177. Google Scholar13. UNGLEYSUZMAN CCMM: Subacute combined degeneration of cord; symptomatology and effects of liver therapy, Brain, 1929, lii, 271-294. CrossrefGoogle Scholar14. DOBRINERRHOADS KCP: Metabolism of blood pigments in pernicious anemia, Jr. Clin. Invest., 1938, xvii, 95-103. CrossrefGoogle Scholar15. WILKINSONBROCKBANK JFW: Importance of familial achlorhydria in aetiology of pernicious anaemia, Quart. Jr. Med., 1931, xxiv, 219-238. CrossrefGoogle Scholar16. PINEY A: Recent advances in haematology, 1928, Blakiston, Philadelphia, p. 79 (mentions case of Hoff). Google Scholar17. KRANTZ CI: Anaphylactic reactions following medication with parenteral liver extract, Jr. Am. Med. Assoc., 1938, cx, 802-803. CrossrefGoogle Scholar18. BEEBEWINTROBE RTMM: Diagnosis of obscure cases of pernicious anemia, Arch. Int. Med., 1933, li, 630-637. CrossrefGoogle Scholar19. ELLIS HURST AF qouted by : Clinical importance of achlorhydria, Brit. Med. Jr., 1934, ii, 665-669. Google Scholar20. STRANDELL B: Pernicious anemia; study of 117 cases, Acta med. Scand., 1931, supp. 40, 1-124. Google Scholar21. HEATH CW: Interrelation of pernicious anemia and idiopathic hypochromic anemia; study of family in which both conditions occurred singly and combined, Am. Jr. Med. Sci., 1933, clxxxv, 365-381. CrossrefGoogle Scholar22. SCHEIDEL H: Ueber das Vorkommen, die Aetiologie, die Symptomatologie und den Verlauf der perniziösen Anamie, München. med. Wchnschr., 1933, lxxx, 302-305. Google Scholar23. HORSTERSKROHN HW: Ueber Vererbung und Erbgebundenheit der Blutgruppen bei Anaemia gravis, Deutsch. Arch. f. klin. Med., 1932, clxxiii, 271-282. Google Scholar24. MCGHIE AG: Plea for earlier diagnosis of pernicious anaemia, with quotation of cases, Canad. Med. Assoc. Jr., 1934, xxx, 274-277. Google Scholar25. FINNEY JO: Pernicious anemia unassociated with achlorhydria; case report, ANN. INT. MED., 1939, xii, 1521-1525. Google Scholar26. MURPHY WP: Anemia in practice; pernicious anemia, 1939, W. B. Saunders, Philadelphia, p. 202. Google Scholar27. KAUFMANNTHIESSEN OK: Zur Erbbiologie der perniziösen Anämie, Ztschr. f. klin. Med., 1939, cxxxvi, 474-506. Google Scholar28. SCHEMM FR: A pernicious anemia family; five authenticated cases in the same generation, Am. Jr. Med. Sci., 1940, cxcix, 167-171. CrossrefGoogle Scholar29. WEITZ W: Die Vererbung innerer Krankheiten, 1936, F. Enke, Stuttgart. Google Scholar30. BREMER , cited by WEITZ, W. Google Scholar31. NAEGELI O: Geographisch-medizinische Erforschung der Anämien. Klinisches Referat, Folia haemat., 1937, lviii, 320-332. Google Scholar32. MICHAUD , cited by ASKANAZY, M.: Die pathologische Anatomie der Anämien im Lichte der geographischen Pathologie, Folia haemat., 1937, lviii, 289-319. Google Scholar33. WERNER M: Ueber die Erblichkeit der perniziösen Anämie auf Grund von klinischen Untersuchungen in 57 Sippen, Verhandl. d. deutsch. Gesellsch. f. inn. Med., 1938, 50. Kongress, pp. 303-306. Google Scholar34. DEDICHEN L: Anémie chez des soeurs jumelles de 85 ans, Acta med. Scand., 1931, lxxvii, 97-99. Google Scholar35. ROZENDAALWASHBURN HMRN: Gastric secretion in cases of pernicious anemia, ANN. INT. MED., 1938, xi, 1834-1837. Google Scholar36. IVYMORGANFARRELL ACJEJI: Effects of total gastrectomy; experimental achylia gastrica in dogs with occurrence of spontaneous anaemia and anaemia of pregnancy, Surg., Gynec. and Obst., 1931, liii, 611-620. Google Scholar37. MURPHY WP: Anemia in practice; pernicious anemia, 1939, W. B. Saunders, Philadelphia, pp. 205-206. Google Scholar38. MEULENGRACHT E: Symposium on the blood and blood-forming organs, 1939, University of Wisconsin Press, Madison, Wisconsin, pp. 72-82. Google Scholar39. BLOOMFIELDPOLLAND ALWS: Fate of people with unexplained gastric anacidity; follow-up studies, Jr. Clin. Invest., 1935, xiv, 321-324. CrossrefGoogle Scholar40. DAVIESJAMES DTTG: Investigation into gastric secretion of 100 normal persons over age of 60, Quart. Jr. Med., 1930-31, xxiv, 1-14. Google Scholar41. NEUBURGER J: Ueber das familiäre und konstitutionelle Moment in der Aetiologie der Anaemia perniciosa, Deutsch. med. Wchnschr., 1925, li, 1557-1558. CrossrefGoogle Scholar42. WEINBERG F: Achylia gastrica und perniziöse Anämie, Deutsch. Arch. f. klin. Med., 1918, cxxvi, 447-473. Google Scholar43. ZADEK I: Laboratoriumsbefunde bei perniziöser Anämie, Ztschr. f. klin. Med., 1926, ciii, 646-693. Google Scholar44. DORST SE: Familial pernicious anemia; achlorhydria as dominant etiologic factor, Am. Jr. Med. Sci., 1926, clxxii, 173-185. CrossrefGoogle Scholar45. QUECKENSTEDT H: Die perniziöse Anämie, Deutsch. med. Wchnschr., 1913, xxxix, 883-887. Google Scholar46. MARTIUS FW: Konstitution und Vererbung in ihren Beziehungen zur Pathologie, 1914, J. Springer, Berlin, p. 236. CrossrefGoogle Scholar47. BLOOMFIELDPOLLAND ALWS: Gastric anacidity; its relation to disease, 1933, Macmillan, New York, p. 55. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Los Angeles, California*Read at the Cleveland meeting of the American College of Physicians April 2, 1940.From the Department of Medicine, University of Southern California School of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFamili�re pernizi�se An�mieIncidence of Gastric Parietal Cell Antibody in Families of Patients with Iron Deficiency AnaemiaVitamin B12 deficiency in chronic gastritisA Family Study of Pernicious AnaemiaGastric Biopsy in the Megaloblastic AnaemiasPRESENT STATUS OF THE ETIOLOGY OF PERNICIOUS ANEMIA*W. B. CASTLE, M.D., F.A.C.P.Diabets mellitus and pernicious anemiaThe deficiency anemiasPernicious Anemia * 1 October 1940Volume 14, Issue 4Page: 593-607KeywordsBloodForecastingLesionsNervous systemPernicious anemiaSpinal cord Issue Published: 1 October 1940 PDF downloadLoading ...
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