Question

A 45-year-old woman presents with progressive fatigue, paresthesia in her feet and a smooth, sore tongue. Blood tests show macrocytic anaemia with low vitamin B12 and normal folate. She is not vegetarian. What is the most likely underlying cause?

Accepted Answer

Autoimmune gastritis causing vitamin B12 deficiency

Answer

Iron deficiency anaemia

Answer

Alcohol excess

Answer

Folate deficiency from poor diet

Answer

Chronic kidney disease

Practice question

A 45-year-old woman presents with progressive fatigue, paresthesia in her feet and a smooth, sore tongue. Blood tests show macrocytic anaemia with low vitamin B12 and normal folate. She is not vegetarian. What is the most likely underlying cause?