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Review
. 2017 Jan 28;23(4):563-572.
doi: 10.3748/wjg.v23.i4.563.

Micronutrient Deficiencies in Patients With Chronic Atrophic Autoimmune Gastritis: A Review

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Free PMC article
Review

Micronutrient Deficiencies in Patients With Chronic Atrophic Autoimmune Gastritis: A Review

Federica Cavalcoli et al. World J Gastroenterol. .
Free PMC article

Abstract

Chronic atrophic autoimmune gastritis (CAAG) is an organ-specific autoimmune disease characterized by an immune response, which is directed towards the parietal cells and intrinsic factor of the gastric body and fundus and leads to hypochlorhydria, hypergastrinemia and inadequate production of the intrinsic factor. As a result, the stomach's secretion of essential substances, such as hydrochloric acid and intrinsic factor, is reduced, leading to digestive impairments. The most common is vitamin B12 deficiency, which results in a megaloblastic anemia and iron malabsorption, leading to iron deficiency anemia. However, in the last years the deficiency of several other vitamins and micronutrients, such as vitamin C, vitamin D, folic acid and calcium, has been increasingly described in patients with CAAG. In addition the occurrence of multiple vitamin deficiencies may lead to severe hematological, neurological and skeletal manifestations in CAAG patients and highlights the importance of an integrated evaluation of these patients. Nevertheless, the nutritional deficiencies in CAAG are largely understudied. We have investigated the frequency and associated features of nutritional deficiencies in CAAG in order to focus on any deficit that may be clinically significant, but relatively easy to correct. This descriptive review updates and summarizes the literature on different nutrient deficiencies in CAAG in order to optimize the treatment and the follow-up of patients affected with CAAG.

Keywords: Calcium; Chronic atrophic autoimmune gastritis; Iron; Malabsorption; Nutritional deficiency; Vitamin B12; Vitamin C; Vitamin D.

Conflict of interest statement

Conflict-of-interest statement: No conflict of interests (including but not limited to commercial, personal, political, intellectual, or religious interests) to declare.

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References

    1. Toh BH, van Driel IR, Gleeson PA. Pernicious anemia. N Engl J Med. 1997;337:1441–1448. - PubMed
    1. Toh BH. Diagnosis and classification of autoimmune gastritis. Autoimmun Rev. 2014;13:459–462. - PubMed
    1. Tozzoli R, Kodermaz G, Perosa AR, Tampoia M, Zucano A, Antico A, Bizzaro N. Autoantibodies to parietal cells as predictors of atrophic body gastritis: a five-year prospective study in patients with autoimmune thyroid diseases. Autoimmun Rev. 2010;10:80–83. - PubMed
    1. Toh BH, Alderuccio F. Pernicious anaemia. Autoimmunity. 2004;37:357–361. - PubMed
    1. Faller G, Kirchner T. Immunological and morphogenic basis of gastric mucosa atrophy and metaplasia. Virchows Arch. 2005;446:1–9. - PubMed

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