0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Megaloblastic Anemia Coexistent with Benign Pyloric Stenosis

RICHARD D. LEVERE, M.D.; HERBERT C. LICHTMAN, M.D.
Arch Intern Med. 1963;111(5):631-633. doi:10.1001/archinte.1963.03620290097012.
Text Size: A A A
Published online

A variety of gastrointestinal disorders have been implicated in the causation of megaloblastic anemia which responded to the parenteral administration of cyanocobalamin (vitamin B12).1,2 However, there are no reports of the coexistence of this type of anemia with pyloric obstruction produced by benign fibrosis. The case to be described represents an example of this occurrence.

Report of a Case  A 57-year-old white housewife, of Italian descent, was hospitalized for evaluation of anemia. She was in good health until approximately one year prior to admission, when she began to experience episodes of nausea and vomiting occurring shortly after meals. Soon thereafter insidious weakness developed. These symptoms progressed over the year preceding admission, and during the month prior to hospitalization she vomited all solid foods and had been able to retain only small quantities of orally ingested liquids. She noted no blood in her vomitus. Two weeks before hospitalization she

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();