We investigated three black women who had anemia and skin hyperpigmentation. They were found to have pernicious anemia (PA) and normal adrenal functions. To our knowledge, this is the first report of skin hyperpigmentation of PA in black patients. This report reemphasizes the similarities in clinical features of PA and Addison's disease.
(Arch Intern Med 138:388-389, 1978)
Ogbuawa O, Trowell J, Williams JT, Bradley C, Archer J, Henry WL. Hyperpigmentation of Pernicious Anemia in Blacks: Report of Three Cases. Arch Intern Med. 1978;138(3):388–389. doi:10.1001/archinte.1978.03630270036015
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