A 69-year-old Japanese woman presented with a 4-week history of painful tongue and
reduced sense of taste. On physical examination, she had a smooth, red tongue without …

A 28-year-old Caucasian male with Hashimoto's disease and vitiligo presented with two
weeks of dizziness on exertion following pharyngitis which was treated with prednisone 40 …

Pernicious anemia is a megaloblastic anemia caused by vitamin B12 deficiency, and is the
end-stage of autoimmune gastritis that typically affects persons older than 60 years. It is the …

A 21-year-old, previosly healthy Caucasian male presented to his primary care physician
with 6 weeks of generalized fatigue and worsening dyspnea on exertion. Physical exam was …

A 90-year-old woman was referred and admitted to our hospital because of progressing
dementia, decreased appetite, and general fatigue. Blood tests on admission disclosed …

Question: A 78-year-old man presented with complaints of worsening dyspnea on exertion,
fatigue, and lightheadedness. His past medical history was significant for hypertension …

A 69-year-old lady presented with iron deficiencyanaemia and a past history of hysterectomy
and gastritis. She reported lethargy and tiredness as well as hot flushes associated with …

Revised: 29 September 2017/Accepted: 6 October 2017/Published online: 12 October
2017© The Japanese Society of Hematology 2017 was performed. Histopathological …

An 80-year-old female was admitted to our hospital due to malaise. The initial diagnosis on
admission was pernicious anemia (PA), Hashimoto thyroiditis and autoimmune atrophic …

Vitamin B12 is an essential nutrient which plays an important role in neurological function,
hematopoiesis, and DNA synthesis. Low levels usually stem from either poor intake or a …