Pernicious anemia seen initially as orthostatic hypotension.


Author

White WB, Reik L Jr, Cutlip DE.

Date

10/1981

Journal

Arch Intern Med

Abstract

A 69-year-old man complaining of syncope was found to have pernicious anemia and orthostatic hypotension due to autonomic neuropathy. Following vitamin B12 replacement with cyanocobalamin, the blood pressure became normal. To our knowledge, this is the first reported case of neurogenic orthostatic hypotension as the initial feature of vitamin B12 deficiency.

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