A member asked:

Can pernicious anemia or severe vitamin b12 deficiency cause chronic non-specific duodenitis??

3 doctors weighed in across 3 answers

No: If pernicious anemia is treated with Vit B-12 injections the patient will be otherwise normal. If not he will have atrophic gastritis, hematological problems as well as neurological ones

Answered 8/10/2016

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Dr. Carrie Cannon answered

Specializes in Family Medicine

Which came first?: Pernicious anemia results from the reduced gastric production of intrinsic factor. It is often associated with other autoimmune diagnoses. More commonly duodenitis/gastritis from NSAID overuse of meds like apirin and ibuprofen/Advil and infection with H.pylori causes B12 deficiency. http://emedicine.medscape.com/article/204930-overview#aw2aab6b2b3aa

Answered 3/6/2020

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Dr. Le Wang answered

Specializes in Internal Medicine

Not clear: No clear evidence for the causal-effect relationship between the two. PA is an autoimmue-mediated destruction of parietal cells in stomach, resuling in impairmnent of B12 absorption. Certainly it is possible that pernicious anemia may co-exist or exacerbate duodenitis via immune process or loss of balance in duodenal fluid, or anemia. But the causal-effect relationship is not well established.

Answered 11/1/2018

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