Saturday, November 19, 2011

Clinical and laboratory Findings in Vitamin B12 and Folate deficiencies

Clinical and laboratory Findings in Vitamin B12 and Folate deficiencies
LABORATORY / CLINICAL FINDING
PERNICIOUS ANEMIA
OTHER Vit B12 DEFICIENCIES
FOLATE DEFICIENCY
Achlorhydria
Present
Absent
Absent
Autoantibodies
Present
Absent
Absent
Chronic athrophic gastritis
Present
Absent
Absent
Gastric carcinoma risk
↑
None
None
Hypersegmented neutrophils
Present
Present
Present
Mean corpuscular volume
↑
↑
↑
Neurologic disease
Present
Present
None
Pancytopenia
Present
Present
Present
Plasma homocysteine
↑
↑
↑
Serum gastrin level
↑
Normal
Normal
Urine methylmalonic acid
↑
↑
Normal