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CaseName
Presentation Case 7. Folate deficiency
CaseDescription
A 49-year-old man comes into the clinic complaining o “tiredness” over the last several months. His past medical history is significant or hypertension, diabetes mellitus, and alcohol abuse. A CBC reveals a low hemoglobin and an MCV o 115.
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Comment
The patient has a megaloblastic anemia caused by either a B12 or folate deficiency. His history o alcohol dependence strongly suggests folate deficiency, as that is the most common cause of megaloblastic anemia in alcoholics.
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