25 May 2025
: Case report 
A Rare Case of Severe Pernicious Anemia with Neuropsychiatric Implications
Challenging differential diagnosis, Unusual setting of medical care, Rare disease
Stanley Kim
ABCDEFG 1*, Jade Punzalan BCDEF 2, BreeAnna Carlson BCDEF 3
DOI: 10.12659/AJCR.946911
Am J Case Rep 2025; 26:e946911
Figure 1 (A) Wright-Giemsa stain of the peripheral blood smear (×40) on admission showing a hypersegmented neutrophil (white arrow), poikilocytosis, anisocytosis, hypochromia, and teardrop cells (red arrows). (B) A neutrophil with 8–10 nuclear lobes. (C) A 7-lobed neutrophil. (D) A 6-lobed neutrophil.