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pylori infections are fairly common, and most dont result in autoimmune gastritis.[ref][ref] Autoimmune gastritis and pernicious anemia often coincide with other autoimmune diseases, including vitiligo, oral lichen planus, Addisons disease, and type 1 diabetes.[ref] How is pernicious anemia diagnosed

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Various factors might lead to small skin changes, but some specific signs could hint at a lack of B12