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Dietary folate deficiency with normal red cell folate and circulating blasts
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  • Published on:
    Authors' response
    • Gail L. Stark, Specialist Registrar in Haematology
    • Other Contributors:
      • Peter J. Hamilton

    Dear Editor

    We appreciate the interest of RP Britt in our recent case report.[1]

    As suggested in our report, we agree that the laboratory findings in this case do not rule out nutritional vitamin B12 deficiency. We did, however, feel that the precipitate nature of this lactating patient's presentation with a documented MCV of 87.8fl four months prior to her admission, made acute folate deficiency more lik...

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    Conflict of Interest:
    None declared.
  • Published on:
    Nutritional vitamin B12 deficiency

    Dear Editor

    I read with interest the case report by GL Stark and PJ Hamilton [1]. In 1970 we drew attention to the occurrence of megaloblastic anaemia in asian migrants coming to the UK [2]. Further investigation [3,4] revealed many of these to be nutritional vitamin B12 deficiency.

    The features in the case reported certainly do not rule out this possibility in their patient. They administered three injec...

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    Conflict of Interest:
    None declared.