[A 62 year old woman with spontaneous onset of distinct walking disorder and pancytopenia].
Our case-report presents a 62 year old woman with spontaneous onset of a distinct walking disorder and pancytopenia. The diagnosis showed a sub-acute combined degeneration of the spinal cord (SACD) and a megaloblastic anemia as a result of a cobalamin deficiency. This was caused by a strict vegetarian nutrition since 18 years. Once on therapy with cobalamin substitutes the clinical and laboratory test results improved within 3 months.
Austein
T
T
Abteilung für Hämatologie/intern. Onkologie, Medizinische Klinik II, St. Bernhard Hospital, Brake, Deutschland. dr.austein@sbhospital.de
Badge
S
S
Kerstan
H
H
von Bloh
J
J
Aue
G
G
Lösekann
M
M
Pacholik
L
L
D000749:Anemia, Megaloblastic / Q000175:diagnosis / Q000209:etiology*; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology; D003711:Demyelinating Diseases / Q000175:diagnosis* / Q000209:etiology; D014676:Diet, Vegetarian / Q000009:adverse effects*; D005260:Female; D020233:Gait Disorders, Neurologic / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010198:Pancytopenia / Q000175:diagnosis / Q000209:etiology*; D014806:Vitamin B 12 Deficiency / Q000175:diagnosis*