Stark GL, Hamilton PJ. Dietary folate deficiency with normal red cell folate and circulating blasts.
J Clin Pathol 2003;
56:313-5. [PMID:
12663648 PMCID:
PMC1769915 DOI:
10.1136/jcp.56.4.313]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2002] [Indexed: 11/04/2022]
Abstract
This report describes a 26 year old woman, of Pakistani origin, who presented five months postpartum with severe megaloblastic anaemia as a result of nutritional folate deficiency. This case was unusual in that a small number of myeloblasts were present in the peripheral blood at presentation, and this circulating population temporarily increased in size when folate replacement was begun. We also highlight the need to recognise the non-linear relation between haematocrit and red blood cell folate concentration when the haematocrit is very low (< 0.15) and emphasise the importance of the clinical history.
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