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. 1969 Apr 5;2(5648):18–21. doi: 10.1136/bmj.2.5648.18

Serum Folate and Vitamine B12 Levels in Acute and Chronic Renal Disease. Effect of Peritoneal Dialysis

L H Sevitt, A V Hoffbrand
PMCID: PMC1983016  PMID: 5776209

Abstract

Serum folate and vitamin B12 levels have been measured in 32 patients with renal failure. The initial mean serum folate level was raised above normal in seven patients with acute renal failure whereas the mean level in eight patients severely ill from chronic renal failure was significantly lower than normal. Serum folate levels fell during peritoneal dialysis and rose between dialyses in all these patients and also in one patient who was dialysed for acute pancreatitis.

The mean serum B12 level was raised in patients with both acute and chronic renal failure, but there was no consistent change in serum B12 level during dialysis.

Hypersegmented polymorphs were present in the peripheral blood film of most of the patients with acute or chronic renal failure. Their presence bore no relation to the clinical state, blood urea, serum folate, or serum B12 level of the 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. GORESKY C. A., WATANABE H., JOHNS D. G. THE RENAL EXCRETION OF FOLIC ACID. J Clin Invest. 1963 Dec;42:1841–1849. doi: 10.1172/JCI104868. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Hampers C. L., Streiff R., Nathan D. G., Snyder D., Merrill J. P. Megaloblastic hematopoiesis in uremia and in patients on long-term hemodialysis. N Engl J Med. 1967 Mar 9;276(10):551–554. doi: 10.1056/NEJM196703092761005. [DOI] [PubMed] [Google Scholar]
  3. 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]
  4. MATTHEWS D. M., BECKETT A. G. Serum vitamin B12 in renal failure. J Clin Pathol. 1962 Sep;15:456–458. doi: 10.1136/jcp.15.5.456. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Mowbray J. F., Cohen S. L., Doak P. B., Kenyon J. R., Owen K., Percival A., Porter K. A., Peart W. S. Human cadaveric renal transplantation. Report of twenty cases. Br Med J. 1965 Dec 11;2(5475):1387–1394. doi: 10.1136/bmj.2.5475.1387. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Palmer R. A., Newell J. E., Gray E. J., Quinton W. E. Treatment of chronic renal failure by prolonged peritoneal dialysis. N Engl J Med. 1966 Feb 3;274(5):248–254. doi: 10.1056/NEJM196602032740504. [DOI] [PubMed] [Google Scholar]
  7. REGISTER U. D., SARETT H. P. Urinary excretion of vitamin B12, folic acid, and citrovorum factor in human subjects on various diets. Proc Soc Exp Biol Med. 1951 Aug;77(4):837–839. doi: 10.3181/00379727-77-18941. [DOI] [PubMed] [Google Scholar]
  8. 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]
  9. Whitehead V. M., Comty C. H., Posen G. A., Kaye M. Homeostasis of folic acid in patients undergoing maintenance hemodialysis. N Engl J Med. 1968 Oct 31;279(18):970–974. doi: 10.1056/NEJM196810312791804. [DOI] [PubMed] [Google Scholar]

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