Improvisation revisited. Oral cyanocobalamin without intrinsic factor for pernicious anemia

摘要: G.G. weighs 70 pounds, is 101 years old, and lies about her age. She may claim 82 or 88 and, when confronted with these inconsistencies, retorts twinkling impudence, "Well, what do you expect?" In 1963, because of anemia, marrow was examined "severely megaloblastic." The anemia responded promptly to intramuscular cobalamin. 1975, the benevolent government state rousted from hotel residence sent live in a convalescent hospital another city. history pernicious (PA) did not accompany her. given no time she relapsed, February 1976 admitted macrocytic hemoglobin level 5.4 g/dL. appropriately injected came under my care at that time. 1976, I called see refusal permit