Cause of Pernicious Anemia

Question

Pernicious anemia is caused due to deficiency of:

Select an answer

Pernicious anemia is caused due to deficiency of:

  1. Iron
  2. Folic acid
  3. Vitamin $B_{12}$ — Correct Answer
  4. All
Explanation:
Correct Answer: Vitamin B₁₂ (Cyanocobalamin)

Pernicious anaemia is a specific type of megaloblastic anaemia caused by Vitamin B₁₂ (Cyanocobalamin) deficiency. It occurs when the stomach fails to produce Intrinsic Factor — the glycoprotein required for B₁₂ absorption in the ileum.

Vitamin B₁₂ — Key Facts
Parameter Detail
Chemical name Cyanocobalamin
Other names Anti-pernicious anaemia factor; Animal protein factor; Chick growth factor
Mineral contained Cobalt (Co) — only vitamin with a mineral in its structure
Absorption site Ileum (requires Intrinsic Factor from stomach)
Synthesis By rumen microbes in ruminants
Anaemia Types — Differential Diagnosis
  • Pernicious anaemia → B₁₂ deficiency → megaloblastic anaemia (large immature RBCs).
  • Iron deficiency anaemia → microcytic hypochromic anaemia.
  • Folic acid deficiency → megaloblastic anaemia (similar to B₁₂ — both needed for DNA synthesis).
Why Other Options Are Wrong
  • Iron → deficiency causes iron deficiency anaemia (microcytic), not pernicious anaemia.
  • Folic acid → also causes megaloblastic anaemia, but pernicious anaemia is specifically B₁₂-mediated.
  • All → only B₁₂ is directly associated with the classic "pernicious anaemia" diagnosis.

📚 About this Topic — Animal Nutrition

This multiple choice question is from Animal Nutrition, Animal Refresher. It has 4 options with a detailed explanation of the correct answer. Practice more MCQs from Animal Nutrition to strengthen your preparation.

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