Folate deficiency screening
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Screening
- Screening for Folate deficiency anemia is usually not routinely recommended for asymptomatic patients.
- Screening is only recommended for patients with abnormal complete blood count and increased risk of having folate deficiency such as:
- Older people (Age >65)
- Alcohol abusers
- Pregnant or lactating women especially in case of previous history of child with neural tube defect
- Preterm infants
- Lower socioeconomic groups
- History of malabsorption
- Infants on goats' milk
- Chronic dialysis patients
- Screening evaluation include measurement of :
- Complete blood count showing MCV > 100fL with or without low hemoglobin.
- Fasting serum folate level (Adults: 2-20 ng/mL).