BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

其他诊断因素

  • 长期腹泻
  • 头痛
  • 食欲不振和体重下降
  • 疲劳

危险因素

  • 膳食中叶酸摄入低
  • 年龄>65岁
  • 酗酒者
  • 怀孕和哺乳

诊断性检查

首要检查

  • 全血细胞计数
  • 网织红细胞计数
  • 外周血涂片
全部具体信息

需要考虑的检查

  • 血清叶酸
  • 红细胞叶酸
  • 血清维生素B12
  • 血清乳酸脱氢酶
全部具体信息

治疗流程

贡献者

Professor of Medicine, Emeritus (Hematology/Oncology)

Vanderbilt University Medical Center

Nashville

TN

利益冲突披露
MK declares that he has no competing interests.

Assistant Professor of Pathology, Microbiology, and Immunology

Assistant Professor of Pediatrics (Pediatric Hematology-Oncology)

Vanderbilt University Medical Center

Nashville

TN

利益冲突披露
APW declares that she has no competing interests.

Research Associate Professor of Medicine (Nephrology)

Vanderbilt University Medical Center

Nashville

TN

利益冲突披露
MS declares that he has no competing interests.

Dr Mark Koury, Dr Allison Wheeler, and Dr Mohammed Sika would like to gratefully acknowledge Dr Lakshmi V. Srivaths and Donald Mahoney Jr., previous contributors to this monograph. LVS and DM declare that they have no competing interests.

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Professor and Chair

Department of Pathology and Laboratory Medicine

University of California Davis School of Medicine

Sacramento

CA

利益冲突披露
RG is the author of 2 references cited in this monograph.

Emeritus Professor and Consultant Haematologist

Dorevitch Pathology

Heidelberg

Victoria

Australia

利益冲突披露
JM declares that he has no competing interests.

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