To the Editor.—
Pernicious anemia among American Indians is infrequent. A search by a computer of the National Library of Medicine revealed only one case report in recent years.1Diagnosis is difficult because of the geographic isolation of many Indians from appropriate diagnostic procedures, in particular the Schilling test. In rural areas therapy is frequently initiated on the basis of megaloblastic anemia and achlorhydria alone. Lack of diagnostic security and case reporting may explain the apparent rarity of pernicious anemia among the American Indians. However, in view of the well-documented racial and ethnic distribution of this disease, the American Indian may have a constitutional lack of susceptibility to pernicious anemia.
Report of a Case.—
A 49-year-old, full-blooded Sioux Indian man was admitted to the Poplar, Mont, Community Hospital on Jan 10, 1968, because of dizziness and shortness of breath for two weeks. During the month before admission he had
Lee RV. Pernicious Anemia in A Full Blooded Indian. JAMA. 1970;212(8):1378. doi:10.1001/jama.1970.03170210082026
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