Macrocytosis: pitfalls in testing and summary of guidance

被引：9

作者：

Galloway, Michael ^{[1
]}

Hamilton, Malcolm

机构：

[1] Sunderland Royal Hosp, City Hosp Sunderland NHS Fdn Trust, Sunderland SR4 7TP, England

[2] Royal Devon & Exeter NHS Fdn Trust, Dept Haematol, Exeter EX2 5DW, Devon, England

来源：

BMJ-BRITISH MEDICAL JOURNAL | 2007年 / 335卷 / 7625期

关键词：

D O I：

10.1136/bmj.39325.689641.471

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Low vitamin B-12 levels can occur without deficiency being present, and normal levels don't always rule out vitamin B-12 deficiency. A clinical assessment, together with blood count and blood film results, can ensure a correct interpretation of vitamin B-12 and folate levels.

引用

页码：884 / 886

页数：3

共 12 条

[1]

CHARACHE S, 1992, BLOOD, V79, P2555

[2] Lesson of the week - Diagnosing vitamin B-12 deficiency on the basis of serum B-12 assay [J].

Devalia, Vinod .

BMJ-BRITISH MEDICAL JOURNAL, 2006, 333 (7564) :385-386

[3] ORAL SIGNS AND SYMPTOMS IN PATIENTS WITH UNDIAGNOSED VITAMIN-B-12 DEFICIENCY [J].

FIELD, EA ;

SPEECHLEY, JA ;

RUGMAN, FR ;

VARGA, E ;

TYLDESLEY, WR .

JOURNAL OF ORAL PATHOLOGY & MEDICINE, 1995, 24 (10) :468-470

[4]

Goringe A, 2006, HAEMATOL-HEMATOL J, V91, P231

[5]

LANCET J, 1999, DIAGNOSTIC STRATEGIE, P575

[6] BIOCHEMICAL INDEXES OF VITAMIN-B-12 NUTRITION IN PREGNANT PATIENTS WITH SUBNORMAL SERUM VITAMIN-B-12 LEVELS [J].

METZ, J ;

MCGRATH, K ;

BENNETT, M ;

HYLAND, K ;

BOTTIGLIERI, T .

AMERICAN JOURNAL OF HEMATOLOGY, 1995, 48 (04) :251-255

[7] HEMATOLOGIC STATUS IN RECURRENT APHTHOUS STOMATITIS COMPARED WITH OTHER ORAL-DISEASE [J].

PORTER, SR ;

SCULLY, C ;

FLINT, S .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1988, 66 (01) :41-44

[8] Best practice in primary care pathology: review 1 [J].

Smellie, WSA ;

Wilson, D ;

McNulty, CAM ;

Galloway, MJ ;

Spickett, GA ;

Finnigan, DI ;

Bareford, DA ;

Greig, MA ;

Richards, J .

JOURNAL OF CLINICAL PATHOLOGY, 2005, 58 (10) :1016-1024

[9] CHANGING ETIOLOGY OF MACROCYTOSIS - ZIDOVUDINE AS A FREQUENT CAUSATIVE FACTOR [J].

SNOWER, DP ;

WEIL, SC .

AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1993, 99 (01) :57-60

[10] Cobalamin-responsive disorders in the ambulatory care setting: unreliability of cobalamin, methylmalonic acid, and homocysteine testing [J].

Solomon, LR .

BLOOD, 2005, 105 (03) :978-985

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