[Fatigue, exertional dyspnea, unsteady gait].
Exertional dyspnea and fatigue dominated the clinical picture of pernicious anemia in a 78 year old man. A disturbed gait indicated concomitant neurologic disorders. A reduced Vitamin B12 level, an abnormal Schillingtest, atrophy of gastric mucosa as well as maturation disturbance of erythrocytes and neutrophils were present as typical signs of the disease. Administration of Cyanocobalamine led to correction of blood values within three weeks.
Nati
R
R
Glänzer
K
K
Tschubel
K
K
Vetter
H
H
D000368:Aged; D000740:Anemia / Q000175:diagnosis*; D000752:Anemia, Pernicious / Q000175:diagnosis* / Q000188:drug therapy; D005221:Fatigue / Q000209:etiology*; D005684:Gait; D006801:Humans; D008297:Male; D014805:Vitamin B 12 / Q000627:therapeutic use; D014806:Vitamin B 12 Deficiency / Q000175:diagnosis
D014805:Vitamin B 12
Müdigkeit, Belastungsdyspnoe, Gangunsicherheit.