(e´mÓ™r-slund) Imerslund-Graesbeck syndrome (e´mÓ™r-slund grÄs´bek) a rare familial form of megaloblastic anemia , usually transmitted as an autosomal recessive trait, characterized by selective intestinal malabsorption of vitamin B 12 uninfluenced by intrinsic factor, and associated with proteinuria and structural genitourinary tract anomalies.