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. 1977 Oct 22;117(8):909–910.

Clinical significance of a high mean corpuscular volume in nonanemic patients.

K L Thong, S A Hanley, J A McBride
PMCID: PMC1880149  PMID: 912617

Abstract

A prospective study of the clinical significance of macrocytosis (mean corpuscular volume 100 fL or more) was carried out for 9 months in a teaching hospital in 1975. Of the 140 patients with macrocytosis at the time of admission (0l7% of all hospital admissions) 46 (33%) had low activity of serum or erythrocyte folate, or both, and 16 (11%) had low serum vitamin B12 concentrations. Among the 78 patients with normal B12 and folate values the most commonly associated significant clinical conditions were alcoholism or hepatic disease (36 patients), malignant disease or the effects of chemotherapy (25 patients) and chronic obstructive lung disease (10 patients).

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Britt R. P., Bolton F. G., Cull A. C., Spray G. H. Experience with a simplified method of radio-isotopic assay of serum vitamin B 12. Br J Haematol. 1969 May;16(5):457–464. doi: 10.1111/j.1365-2141.1969.tb00424.x. [DOI] [PubMed] [Google Scholar]
  2. Eichner E. R., Hillman R. S. The evolution of anemia in alcoholic patients. Am J Med. 1971 Feb;50(2):218–232. doi: 10.1016/0002-9343(71)90151-3. [DOI] [PubMed] [Google Scholar]
  3. HERBERT V., ZALUSKY R., DAVIDSON C. S. Correlation of folate deficiency with alcoholism and associated macrocytosis, anemia, and liver disease. Ann Intern Med. 1963 Jun;58:977–988. doi: 10.7326/0003-4819-58-6-977. [DOI] [PubMed] [Google Scholar]
  4. Hoffbrand A. V., Newcombe F. A., Mollin D. L. Method of assay of red cell folate activity and the value of the assay as a test for folate deficiency. J Clin Pathol. 1966 Jan;19(1):17–28. doi: 10.1136/jcp.19.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. JANDL J. H. Hematologic changes in chronic liver disease. Am J Gastroenterol. 1958 Jul;30(1):46–50. [PubMed] [Google Scholar]
  6. Kilbridge T. M., Heller P. Determinants of erythrocyte size in chronic liver disease. Blood. 1969 Dec;34(6):739–746. [PubMed] [Google Scholar]
  7. O'Neill B. J., Marlin G. E., Streeter A. M. Red-cell macrocytosis in chronic obstructive airway disease. Med J Aust. 1972 Feb 5;1(6):283–283. doi: 10.5694/j.1326-5377.1972.tb50927.x. [DOI] [PubMed] [Google Scholar]
  8. Tankel H. I., Clark D. H., Lee F. D. Radiation enteritis with malabsorption. Gut. 1965 Dec;6(6):560–569. doi: 10.1136/gut.6.6.560. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Unger K. W., Johnson D., Jr Red blood cell mean corpuscular volume: a potential indicator of alcohol usage in a working population. Am J Med Sci. 1974 May;267(5):281–289. doi: 10.1097/00000441-197405000-00004. [DOI] [PubMed] [Google Scholar]
  10. WATERS A. H., MOLLIN D. L. Studies on the folic acid activity of human serum. J Clin Pathol. 1961 Jul;14:335–344. doi: 10.1136/jcp.14.4.335. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Wentworth P., Coenraad A., Plant S. The value of the mean corpuscular volume (MCV) as a screening test. Can Med Assoc J. 1974 Mar 2;110(5):494–494. [PMC free article] [PubMed] [Google Scholar]
  12. Wu A., Chanarin I., Levi A. J. Macrocytosis of chronic alcoholism. Lancet. 1974 May 4;1(7862):829–831. doi: 10.1016/s0140-6736(74)90482-6. [DOI] [PubMed] [Google Scholar]

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