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pernicious anemia
This term describes a specific autoimmune pathology where the stomach fails to produce intrinsic factor, a protein necessary for B12 absorption. The word "pernicious" here is used in its archaic medical sense meaning "deadly" or "destructive," reflecting the historical reality that the condition was fatal before the discovery of vitamin B12 therapy.
In modern clinical settings, it is distinguished from general vitamin B12 deficiency (which can be caused by diet or other malabsorption issues) by the presence of specific antibodies. Because it is a chronic medical diagnosis, it is treated as a singular clinical entity rather than a countable object.