American Heritage® Dictionary of the English Language, Fourth Edition
- n. A severe anemia most often affecting older adults, caused by failure of the stomach to absorb vitamin B12 and characterized by abnormally large red blood cells, gastrointestinal disturbances, and lesions of the spinal cord.
- n. a chronic progressive anemia of older adults; thought to result from a lack of intrinsic factor (a substance secreted by the stomach that is responsible for the absorption of vitamin B12)
“Mal segued, new colleagues to old business, thinking that the lunger got what he paid for in spades, that his dance with the Feds was good value: a daughter spared broomstick rape and pernicious anemia from Tehachapi’s famous all-starch cuisine in exchange for the rest of his life — shortened by suicide via French tobacco.”
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