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Imerslund-Grasbeck syndrome (IGS) or selective vitamin B12 (cobalamin) malabsorption with proteinuria is a rare autosomal recessive disorder characterized by vitamin B12 deficiency commonly resulting in megaloblastic anemia, which is responsive to parenteral vitamin B12 therapy and appears in childhood.
Features include always present findings: Decreased circulating vitamin B12 concentration, Malabsorption of Vitamin B12, and Abnormal blood 5-methyltetrahydrofolate level; and very common findings: Megaloblastic anemia, Macrocytic anemia, and Hypersegmentation of neutrophil nuclei. 30 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 10 | Low platelet count (thrombocytopenia), Low blood cell counts (all types) (pancytopenia), Abnormal bleeding tendency (abnormal bleeding) |
Biomarker and diagnostic research for Imerslund-Grasbeck syndrome has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 3 very common features, 7 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for Imerslund-Grasbeck syndrome.
11 publications have been identified in PubMed for Imerslund-Grasbeck syndrome. Research spans Case Report / Case Series (73%), Other (9%), and Diagnostic / Biomarker (9%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 8 | 73% |
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 5:33 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Imerslund-Grasbeck syndrome
Brain and nerves | 3 | Delayed speech and language development, Nervous system problems (abnormality of the nervous system), Loss of previously acquired skills (developmental regression) |
Digestive system | 3 | Vomiting, Malabsorption of Vitamin B12, Constipation |
Growth and development | 2 | Failure to thrive, Weight loss |
Muscles | 1 | Low muscle tone (hypotonia) |
Heart and blood vessels | 1 | Tachycardia |
Kidneys and urinary system | 1 | Protein in the urine (proteinuria) |
1 |
9% |
Testing and diagnosis research | 1 | 9% |
Laboratory research | 1 | 9% |
Sakakibara N (2026). [PMID: 41624452](https://pubmed.ncbi.nlm.nih.gov/41624452/). *Kidney international reports*. [Basic Science / Preclinical]
Pul S (2026). [PMID: 41236624](https://pubmed.ncbi.nlm.nih.gov/41236624/). *Pediatric nephrology (Berlin, Germany)*. [Case Report / Case Series]
Lerdkrai C (2026). [PMID: 41938542](https://pubmed.ncbi.nlm.nih.gov/41938542/). *Vet World*. [Diagnostic / Biomarker]
Takizawa K (2026). [PMID: 42233899](https://pubmed.ncbi.nlm.nih.gov/42233899/). *Kidney Int*. [Case Report / Case Series]
Sakakibara N (2025). [PMID: 40163114](https://pubmed.ncbi.nlm.nih.gov/40163114/). *Pediatric nephrology (Berlin, Germany)*. [Case Report / Case Series]
Sengupta S (2025). [PMID: 39920538](https://pubmed.ncbi.nlm.nih.gov/39920538/). *Indian journal of pediatrics*. [Other]
Xing L (2025). [PMID: 40963966](https://pubmed.ncbi.nlm.nih.gov/40963966/). *Frontiers in pediatrics*. [Case Report / Case Series]
Makrooni R (2025). [PMID: 41199191](https://pubmed.ncbi.nlm.nih.gov/41199191/). *BMC pediatrics*. [Case Report / Case Series]
Pietrobon A (2025). [PMID: 39911140](https://pubmed.ncbi.nlm.nih.gov/39911140/). *Canadian journal of kidney health and disease*. [Case Report / Case Series]
Zhang D (2024). [PMID: 39334390](https://pubmed.ncbi.nlm.nih.gov/39334390/). *Italian journal of pediatrics*. [Case Report / Case Series]