A Cross-Sectional Study for the Spectrum of Clinical Diagnosis in Patients Presenting With Macrocytosis.

Autor:	Shafaat SS; Haematology, Armed Forces Institute of Pathology, Rawalpindi, PAK., Siddiqi FA; Medicine, Combined Military Hospital, Rawalpindi, PAK., Yaseen L; Medicine, Combined Military Hospital, Rawalpindi, PAK., Siddiqi KA; Medicine, Combined Military Hospital, Rawalpindi, PAK., Yaseen N; Obstetrics and Gynecology, Combined Military Hospital, Rawalpindi, PAK., Khan I; Medicine, Combined Military Hospital, Rawalpindi, PAK., Ashraf A; Medicine, Combined Military Hospital, Rawalpindi, PAK., Khalid K; Medicine, Combined Military Hospital, Rawalpindi, PAK., Shahid MF; Medicine, Combined Military Hospital, Rawalpindi, PAK., Abbas N; Medicine, Combined Military Hospital, Rawalpindi, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Feb 22; Vol. 16 (2), pp. e54702. Date of Electronic Publication: 2024 Feb 22 (Print Publication: 2024).
DOI:	10.7759/cureus.54702
Abstrakt:	Objective The objectives of this study were to determine the frequency of the clinical spectrum of diseases in patients with macrocytosis and to summarize the diagnostic evaluation of patients found to have macrocytosis on laboratory testing. Background This was a cross-sectional study that took place at the Department of Medicine in Combined Military Hospital, Rawalpindi, Pakistan, from January to June 2023. Methodology One hundred and five patients with macrocytosis with mean corpuscular volume (MCV) values > 100 fL (80 to 100 fL) were inducted as per inclusion and exclusion criteria. Informed consent was obtained from all patients. Complete blood counts (CBC), peripheral blood film, serum vitamin B12 levels, serum folate levels, renal function tests (RFTs), liver function tests (LFTs), and thyroid function tests (TFTs) were performed during the assessment. Results The commonest cause of macrocytosis was vitamin B12 deficiency followed by folate deficiency, combined vitamin B12 and folate deficiency, and other causes were also found in a few cases. Conclusion Serum vitamin B12 and folate deficiency are the most common preventable causes of macrocytosis. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Shafaat et al.)
Databáze:	MEDLINE
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