నైరూప్య

Biermer's disease reveled by iron-deficiency anemia in a child: A case report and literature review.

Lotfi Rahal*, Youcef Bouchedoub, Nassima Rachedi, WardaImene Ziani, Khaoula Azouz

We report the case of a 13-year-old girl with no particular medical history who presented with an anemic syndrome with weight stagnation associated with epigastralgia and transit disorders. The blood count confirmed the presence of a hypochromic microcytic anemia, and digestive exploration by oeso-gastroduodenal endoscopy revealed gastritis. The biopsy with histological analyses has revealed a chronic atrophic gastritis in favor of Biermer's disease. The Helicobacter pylori test was negative. The immunological exploration found a high level of anti-parietal cell antibodies confirming the diagnosis of Biermer's disease. Poorly described in children, Biermer's disease presents in our case a particular form due to the atypical clinical presentation different from the usual form described in the literature which usually associated macrocytic anemia and vitamin B12 deficiency.