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Internist (Berl) ; 49(12): 1512-5, 2008 Dec.
Article in German | MEDLINE | ID: mdl-18979078

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.


Subject(s)
Anemia, Megaloblastic/etiology , Demyelinating Diseases/diagnosis , Diet, Vegetarian/adverse effects , Gait Disorders, Neurologic/etiology , Pancytopenia/etiology , Vitamin B 12 Deficiency/diagnosis , Anemia, Megaloblastic/diagnosis , Biopsy , Bone Marrow/pathology , Demyelinating Diseases/etiology , Female , Gait Disorders, Neurologic/diagnosis , Humans , Middle Aged , Pancytopenia/diagnosis
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