Pernicious anaemia in a young man presenting with dyspepsia.

Addisonian pernicious anaemia is largely a disease of the middle-aged and elderly with only 2-6% of cases diagnosed below the age of 30 years (Chanarin, 1979). Patients usually attend their physician with symptoms suggestive of anaemia or glossitis although other symptoms may become apparent on close questioning. We describe a case of pernicious anaemia in a young man presenting solely with upper gastrointestinal symptoms.