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Neurology
Challenging illness scripts: a case of pernicious anaemia and axonal neuropathy
  1. Amara Ahmed1,
  2. Hussam Ammar1 and
  3. Ronald Mageau2
  1. 1 Internal Medicine, Florida State University College of Medicine, Tallahassee, Florida, USA
  2. 2 Florida State University College of Medicine, Tallahassee, Florida, USA
  1. Correspondence to Dr Hussam Ammar; h_ammar68{at}yahoo.com

Abstract

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.

  • Pernicious anemia
  • Medical management

https://doi.org/10.1136/bcr-2024-260967

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    Footnotes

    • HA and RM are joint senior authors.

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: AA, HA, and RM. The following authors gave final approval of the manuscript: AA, HA, RM.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.