title: [A 62 year old woman with spontaneous onset of distinct walking disorder and pancytopenia].
abstract: 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.
authors.affiliation: Abteilung für Hämatologie/intern. Onkologie, Medizinische Klinik II, St. Bernhard Hospital, Brake, Deutschland. dr.austein@sbhospital.de
authors.forename: T
authors.initials: T
authors.lastname: Austein
authors.forename: S
authors.initials: S
authors.lastname: Badge
authors.forename: H
authors.initials: H
authors.lastname: Kerstan
authors.forename: J
authors.initials: J
authors.lastname: von Bloh
authors.forename: G
authors.initials: G
authors.lastname: Aue
authors.forename: M
authors.initials: M
authors.lastname: Lösekann
authors.forename: L
authors.initials: L
authors.lastname: Pacholik
mesh_terms: 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*