10-19-2010, 10:25 AM
optin a folic acid defi..... low homocystine and normal methylmalonic acid level..... no history of neuropathy... increasing forgetfullness may be due to old age...... wht is de answer?
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hemonq17 - spartans1
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10-20-2010, 08:26 AM
D. myelodysplasia.: pancytopenia, elevated MCV with normal B12 level.
10-20-2010, 08:27 AM
high homocysteine,high normal methylmalonic acid,
neuropathy .......B
10-20-2010, 08:41 AM
Diagnosis of vitamin B12 deficiency is typically based on measurement of serum vitamin B12 levels; however, about 50 percent of patients with subclinical disease have normal B12 levels.
A more sensitive method of screening for vitamin B12 deficiency is measurement of serum methylmalonic acid and homocysteine levels, which are increased early in vitamin B12 deficiency.
10-20-2010, 11:35 AM
@spartans1......>you are my teacher.....many thanks
elaborating your point;with low normal B12,methylmalonic acid should be advised, and neuropathy is a feature of B12 deficiency. |
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