Case 5 - Further Tests

Plasma folate assay : Normal.

Mean Cell Volume (MCV) : 106fl (macrocytic) Normal value : 86 ± 10fl

Serum folate 9.4 microg/l/ ( 3.0 — 15.0) and

Serum vitamin B12 750 ng/ml (160 — 925).

Normal blood film
Blood film showing macrocytic red blood cells