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sikkert langt mere hyppig end almindelig antaget, men ved den sæd
vanlig anvendte routinemæssige behandling a f perniciøs anæmi med
lever- eller ventrikelpræparater vil den ofte forblive ubemærket, da
de almindelige lever- og ventrikelpræparater selvfølgelig også er virk
somme ved den exogene form.
Der findes antagelig alle overgange mellem den rent exogene re
versible form og den rent endogene irreversible form, således at det
utvivlsomt kun er en gradsforskel og et tidsspørgsmål om den ene
eller den anden form udvikles. Rent praktisk har det betydning at
afgøre om anæmien er reversibel eller ej, idet man i de rent exogene
tilfælde kan spare patienterne for en gennem hele livet fortsat unø
dig, men derfor ikke mindre besværlig og bekostelig behandling.
Summary.
Exogenous Pernicious Anæmia.
A case of pernicious anæmia is reported in a man, aged
43
. It is
shown that the development of anæmia is due to deficiency of »ex
trinsic factor«, continuous during
7
—8 years. Treatment with »ex
trinsic factor« exclusively is followed by complete recovery and com
plete restoration of acid secretion in the stomach. The patient is
controlled during 7 months subsequent to the discontinuation of the
specific treatment, and no relapse is observed.
The case is conceived as a case of »exogenous« pernicious anæmia,
its etiology and pathogenesis are discussed, as well as its relation to
true »endogenous« pernicious anæmia.
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