Domínguez Ruiz de León P, Morcillo Cebolla V, Gutiérrez Parres B, Cirujano Pita FJ, Díaz de Tuesta Díaz de Lezama E, Mazorra Benito E. [Macrocytosis without anaemia in an urban population].
Aten Primaria 2010;
43:183-9. [PMID:
20619506 DOI:
10.1016/j.aprim.2010.03.016]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2009] [Revised: 03/06/2010] [Accepted: 03/08/2010] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE
Observational study on a group of patients with macrocytosis without anaemia. The probable relationship of cause and effect between Helicobacter pylori and macrocytosis.
METHODS AND MATERIAL
An observational and cross-sectional study.
MAIN MEASUREMENTS
The measured variables were: personal data, medical and analytical history in relation to macrocytosis, alcohol and smoking habits and drug use. This information was taken from the medical history of the patient.
RESULTS
The prevalence of macrocytosis without anaemia was 7.12%. The main cause found was hypothyroidism in 37/234 (15.8%) patients, followed by alcoholism in 34/234 (14.5%) patients. The most frequent association was alcohol and tobacco in 9/234 (3.8%) patients. It was not possible to find a cause of the increased mean corpuscular volume (MCV) in 87/234 (37.18%) patients. Out of 37 tests conducted for Helicobacter pylori, 23 of them were positive.
DISCUSSION
Macrocytosis without anaemia has a high prevalence. Finding the most frequent causes could help in the early diagnosis and treatment. H. pylori currently appears to be associated to different digestive tract and non-digestive tract diseases.It could be a cause of increased MCV, but this study was unable demonstrate this.
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