Pernicious anaemia, neurological changes and gastric ulceration in a Malawian woman. A case report.

Gastric acid is held to be necessary for the development of gastric ulcers. The absence of gastric ulcers in patients with pernicious anaemia is cited as evidence for the pivotal role of acid. There have been a few reports of gastric ulcers occurring in elderly persons with pernicious anaemia. Presented here is a 35-year-old Malawian woman with pernicious anaemia who also had gastric ulcerations and neurological changes. This report of gastric ulceration in a patient with pernicious anaemia is thought to be the first from Africa and the patient is the youngest on record.