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Evaluation of the Patient with Increased MCV but Normal Serum Folate and Vitamin B12 Levels

Specialty:	Allergy, Immunology, Anesthesiology, Cardiology, Dermatology, Endocrinology, Diabetes, Metabolism, Emergency Medicine, Family, General Practice, Geriatrics, Internal Medicine, Medical Genetics, Neurological Surgery, Neurology, Obstetrics, Gynecology, Oncology, Ophthalmology, Orthopedics, Otolaryngology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Plastic Surgery, Preventive Medicine, Psychiatry, Radiology, Surgery, Urology, Other
Objective:
ICD-10:
Description:	Occasionally a patient will be encountered with an elevated erythrocytic MCV (mean cellular volume) yet serum levels for folate and vitamin B12 are within the normal reference range. A careful examination of the blood smear and review of the patient's clinical history can usually identify the cause for the test findings.

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