{"entities":{"Q39484":{"pageid":29850,"ns":120,"title":"Item:Q39484","lastrevid":121127,"modified":"2026-08-13T04:55:06Z","type":"item","id":"Q39484","labels":{"mul":{"language":"mul","value":"3A01.4"},"pt-br":{"language":"pt-br","value":"Anemia por defici\u00eancia de vitamina B12 devido a doen\u00e7a intestinal"},"en":{"language":"en","value":"Vitamin B12 deficiency anaemia due to intestinal disease"}},"descriptions":{"pt-br":{"language":"pt-br","value":"V\u00e1rios transtornos intestinais podem causar defici\u00eancia de vitamina B12 (cobalamina). Estes incluem doen\u00e7as pancre\u00e1ticas graves e doen\u00e7as do intestino delgado como m\u00e1 absor\u00e7\u00e3o, doen\u00e7a ileal ( incluindo ile\u00edte tuberculosa, linfoma, amil\u00f3ide, sobreviventes de irradia\u00e7\u00e3o p\u00e9lvica), ressec\u00e7\u00e3o extensa do intestino delgado ou bypass, cirurgia g\u00e1strica/reconstru\u00e7\u00e3o para obesidade (cirurgia bari\u00e1trica) e doen\u00e7a de Crohn. Quando as al\u00e7as cegas jejunais est\u00e3o presentes, o supercrescimento bacteriano dentro das al\u00e7as compete pela cobalamina, levando a defici\u00eancia de cobalamina. Embora n\u00e3o seja t\u00e3o comum atualmente, a infesta\u00e7\u00e3o pela t\u00eania do peixe, Diphyllobothrium latum, j\u00e1 foi uma causa cl\u00e1ssica de defici\u00eancia de cobalamina."},"en":{"language":"en","value":"A number of intestinal disorders can also cause vitamin B12 (cobalamin) deficiency. These include severe pancreatic diseases and small bowel diseases such as malabsorption, ileal disease (including tuberculous ileitis, lymphoma, amyloid, long-term survivors of pelvic irradiation), extensive small bowel resection or bypass, gastric surgery/reconstruction for obesity (bariatric surgery) and Crohn's disease. When jejunal blind loops are present, bacterial overgrowth within the loops competes for cobalamin, leading to cobalamin deficiency. Although not as common currently, infestation with the fish tapeworm, Diphyllobothrium latum, was once a classic cause of cobalamin deficiency."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"97f58a16f40f2f3d7564f65c68846f1ff754b4c2","datavalue":{"value":"https://id.who.int/icd/entity/1470734867","type":"string"},"datatype":"url"},"type":"statement","id":"Q39484$EEEB6271-4356-43CA-B6C4-BDB8325A66B6","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"24c4189eae4f5cb9e50d0389200aff50bd50f126","datavalue":{"value":"CID11:3A01.4","type":"string"},"datatype":"string"},"type":"statement","id":"Q39484$4F824E58-F877-4CE8-96AE-86CC82C33C23","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"257464e707a58556074e0354420d9af68354eb52","datavalue":{"value":"dki-india-3A01.4","type":"string"},"datatype":"string"},"type":"statement","id":"Q39484$F49A3235-0164-4AF2-AA26-3C63B40BCC91","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q39484$558685DD-C21C-4189-84A9-1A7C2CD7AA90","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q39484$2E3CE8EA-41C9-4C02-91D9-4C27A84BBA03","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q39484$3B851E24-0C8D-405C-B0A0-6D7CB2083ACA","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"e300c9da0eb0ee232449cc84d0a9148860ff8eb4","datavalue":{"value":{"entity-type":"item","numeric-id":14620,"id":"Q14620"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q39484$28DD5513-4A24-4BDA-9ECE-506174C167D4","rank":"normal"}]},"sitelinks":{}}}}