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Tcnicamente, el trmino anemia perniciosa se refiere a una deficiencia de B12 por malabsorcin por gastritis atrfica, debido a la falta de factor intrnseco o a problemas con su secrecin por atrofia de la mucosa gstrica, por ataque autoinmune contra el factor intrnseco y/o por destruccin autoinmune de las clulas parietales secretoras (como sera el caso de la gastritis atrfica, tambin de origen autoinmune y que produce aclorhidria, y secundario a algunas enfermedades autoinmunes que pueden predisponer a problemas en mucosa gstrica)

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