Case 22-2018: A 64-Year-Old Man with Progressive Leg Weakness, Recurrent Falls, and Anemia

doi:10.1056/NEJMcpc1802826

Case Reports

. 2018 Jul 19;379(3):282-289.

doi: 10.1056/NEJMcpc1802826.

Case 22-2018: A 64-Year-Old Man with Progressive Leg Weakness, Recurrent Falls, and Anemia

Susan E Bennett¹, William P Schmitt¹, Fatima C Stanford¹, Jason M Baron¹

Affiliations

Affiliation

¹ From the Departments of Medicine (S.E.B., W.P.S., F.C.S.), Pediatrics (F.C.S.), and Pathology (J.M.B.), Massachusetts General Hospital, and the Departments of Medicine (S.E.B., W.P.S., F.C.S.), Pediatrics (F.C.S.), and Pathology (J.M.B.), Harvard Medical School - both in Boston.

PMID: 30021092
PMCID: PMC6060279
DOI: 10.1056/NEJMcpc1802826

Case Reports

Case 22-2018: A 64-Year-Old Man with Progressive Leg Weakness, Recurrent Falls, and Anemia

Susan E Bennett et al. N Engl J Med. 2018.

. 2018 Jul 19;379(3):282-289.

doi: 10.1056/NEJMcpc1802826.

Authors

Susan E Bennett¹, William P Schmitt¹, Fatima C Stanford¹, Jason M Baron¹

Affiliation

¹ From the Departments of Medicine (S.E.B., W.P.S., F.C.S.), Pediatrics (F.C.S.), and Pathology (J.M.B.), Massachusetts General Hospital, and the Departments of Medicine (S.E.B., W.P.S., F.C.S.), Pediatrics (F.C.S.), and Pathology (J.M.B.), Harvard Medical School - both in Boston.

PMID: 30021092
PMCID: PMC6060279
DOI: 10.1056/NEJMcpc1802826

No abstract available

PubMed Disclaimer

Conflict of interest statement

Dr. Baron reports receiving grant support, paid to his institution, from IBM. No other potential conflict of interest relevant to this article was reported.

Figures

**Figure 1. Clinical Photographs**
On admission, the patient was missing two lower teeth and had bleeding gums (Panel A). He also had thinning arm hair and bruised easily (Panel B).

See this image and copyright information in PMC

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References

1. Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004;328:680. - PMC - PubMed
1. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–7. - PubMed
1. Steffen KJ, Engel SG, Wonderlich JA, Pollert GA, Sondag C. Alcohol and other addictive disorders following bariatric surgery: prevalence, risk factors and possible etiologies. Eur Eat Disord Rev. 2015;23:442–50. - PubMed
1. Spadola CE, Wagner EF, Dillon FR, Trepka MJ, De La Cruz-Munoz N, Messiah SE. Alcohol and drug use among postoperative bariatric patients: a systematic review of the emerging research and its implications. Alcohol Clin Exp Res. 2015;39:1582–601. - PMC - PubMed
1. Nicolás JM, Fernández-Solà J, Robert J, et al. High ethanol intake and malnutrition in alcoholic cerebellar shrinkage. QJM. 2000;93:449–56. - PubMed

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[1] Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004;328:680. - PMC - PubMed

[2] Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004;328:680. - PMC - PubMed

[3] Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–7. - PubMed

[4] Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–7. - PubMed

[5] Steffen KJ, Engel SG, Wonderlich JA, Pollert GA, Sondag C. Alcohol and other addictive disorders following bariatric surgery: prevalence, risk factors and possible etiologies. Eur Eat Disord Rev. 2015;23:442–50. - PubMed

[6] Steffen KJ, Engel SG, Wonderlich JA, Pollert GA, Sondag C. Alcohol and other addictive disorders following bariatric surgery: prevalence, risk factors and possible etiologies. Eur Eat Disord Rev. 2015;23:442–50. - PubMed

[7] Spadola CE, Wagner EF, Dillon FR, Trepka MJ, De La Cruz-Munoz N, Messiah SE. Alcohol and drug use among postoperative bariatric patients: a systematic review of the emerging research and its implications. Alcohol Clin Exp Res. 2015;39:1582–601. - PMC - PubMed

[8] Spadola CE, Wagner EF, Dillon FR, Trepka MJ, De La Cruz-Munoz N, Messiah SE. Alcohol and drug use among postoperative bariatric patients: a systematic review of the emerging research and its implications. Alcohol Clin Exp Res. 2015;39:1582–601. - PMC - PubMed

[9] Nicolás JM, Fernández-Solà J, Robert J, et al. High ethanol intake and malnutrition in alcoholic cerebellar shrinkage. QJM. 2000;93:449–56. - PubMed

[10] Nicolás JM, Fernández-Solà J, Robert J, et al. High ethanol intake and malnutrition in alcoholic cerebellar shrinkage. QJM. 2000;93:449–56. - PubMed

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Case 22-2018: A 64-Year-Old Man with Progressive Leg Weakness, Recurrent Falls, and Anemia

Affiliation

Case 22-2018: A 64-Year-Old Man with Progressive Leg Weakness, Recurrent Falls, and Anemia

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Conflict of interest statement

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