Shamaila Burney, Saqib Qayyum Ahmed, Saerah Iffat Zafar.
Premature coronary heart disease in a young adult- pernicious anemia the underlying culprit: a case report.
Pak Armed Forces Med J Jan ;65(2):297-8.

Megaloblastic anemia is frequently seen in Pakistan with vitamin B12 deficiency as a leading cause. However prevalence of pernicious anemia is low in our population. Vitamin B12 deficiency can result in elevated homocysteine levels which is associated with atherothrombotic diseases and pernicious anemia can be a cause as reported in recent studie.

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