Unusual cause of childhood anemia: Imerslund Grasbeck syndrome.
Imerslund Grasbeck syndrome (IGS) is a rare autosomal recessive childhood disorder characterized by selective Vitamin (vit) B 12 malabsorption with asymptomatic proteinuria without any structural renal pathology. The patients stay healthy for decades with life-long parenteral vit B12. We report a case of young female who presented with pancytopenia and proteinuria, evaluated in local hospitals as chronic hemolytic anemia (autoimmune cause), finally diagnosed as IGS on complete evaluation. She was treated with injectable vit B12 (1000 μg cyanocobalalmin) and showed drastic recovery. IGS should be considered in patients with megaloblastic anemia not responding to oral vit B12 and associated proteinuria.
Department of Pathology, K S Hegde Medical Acadmey of Nitte University, Mangalore, India. dr_kishanpath@yahoo.com
Kishan Prasad Hosapatna
KP
Laxminarayana
Sunil Kumar
SK
Yeshvanth
Jayaprakash K
JK
Shetty
Harish S
HS
Permi
Chandrika
C
Rao