Folate deficiency history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

History plays an important role in folate deficiency as the signs and symptoms associated with it are subtle and non specific.[1]

History and Symptoms

History

History presents a pivotal role in determining the causative agent of the folate deficiency anemia.The patients of folate deficiency anemia may present with a positive history of:

  • Pregnancy or Lactation
  • Malabsorption
  • Decreased dietary intake
  • Chronic disease like history of chronic hemolytic anemia or Exfoliative dermatitis
  • Excessive alcohol intake
  • Use of certain medication like Methotrexate, Phenytoin and Sulphonamide,Trimethoprim
  • history of chronic renal failure on hemodialysis

Common symptoms

  • Sore tongue
  • Anorexia
  • Slow growth rate
  • Depression
  • Dementia
  • premature and low birth weight infacts born to pregnant lady with folate deficiency

Less common symptoms

  • Diarrhea
  • Weight loss
  • Nausea
  • Vomiting
  • Abdominal pain

References

  1. Green R, Datta Mitra A (2017). "Megaloblastic Anemias: Nutritional and Other Causes". Med Clin North Am. 101 (2): 297–317. doi:10.1016/j.mcna.2016.09.013. PMID 28189172.

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