A 56-year-old patient came to a hospital with complaints about general weakness, tongue pain and burning, sensation of limb numbness. In the past he underwent resection of forestomach. In blood: Hb- 80 g/l; erythrocytes - 2,0 × 1012/l; colour index - 1,2, leukocytes - 3,5 × 109/l. What anemia type is it?

Answer options

1. Iron-deficient
2. B12-folate deficient
3. Hemolytic
4. Posthemorrhagic
5. Aplastic

Explanation

Resection of forestomach causes (intrinsic factors) vitamin B12 deficiency leading to melanocytic, macrocytic anemia. Resection of the pyloric part of the stomach causes iron deficiency leading to microcytic anemia.