Folic Acid Deficiency Flashcards

1
Q

Causes of folic acid anemia

A

Malnutrition
“Tea and toast” diet
Alcohol use disorder
Malabsorption
Increased requirement - pregnancy, lactation
Drug related - methotrexate, anti epileptic drugs

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2
Q

Folic acid anemia diagnostics

A
Megaloblastic anemia
Macrocytic hyperchromic
Normal levels of methylmalonic acid
Increase MCV
Increase homocysteine
MMA normal
Folate serum levels are not reliable
Always exclude the possibility of B12
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3
Q

Symptoms of Folic acid anemia

A

Similar to B12
Folate deficiency is usually not associated with neurological manifestations
Fatigue, pallor
Sore tongue

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