Tagged: Folic acid

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Megaloblastic anemia in the presence of normal Folic acid and B12- A case report

Case details A 6-month-old infant is seen by the pediatrician for developmental delay. Blood work shows megaloblastic anemia, although measurements of B12 and folate are in the high normal range. Urinalysis demonstrates, upon standing, the formation of a crystalline substance. Supplementation of the child’s diet with uridine reversed virtually all of the clinical problems. The crystalline substance was most likely composed of which of the following? A. Uracil B. Thymine C. Orotate D. Aspartate E. Cytosine   Figure- Megaloblastic anemia and macrocytosis To check the answer follow the link http://usmle.biochemistryformedics.com/megaloblastic-anemia-in-the-presence-of-normal-folic-acid-and-vitamin-b12-case-discussion/ Please help Biochemistry for Medics by “CLICKING ON THE ADVERTISEMENTS” every time...

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Answer- Case study- Oral contraceptives induced vitamin deficiencies

Case Details Oral contraceptives are known to lower blood levels of folate and vitamin B6. Which of the following conversion processes might be directly affected? A. Ornithine to Citrulline B. Histidine to histamine C. Glutamate to Glutamine D. Propionyl co A to Methyl malonyl co A E. Phenyl alanine to Tyrosine Answer- B- The correct answer is conversion of Histidine to histamine. The reaction is catalyzed by decarboxylase that requires B6-P as a cofactor (Figure-1) that gets deficient in women upon long-term oral contraceptive usage. Folic acid is not required in this reaction. Figure-1- Decarboxylation of Histidine is carried out...

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Case- Oral contraceptive induced Vitamin deficiencies

Question of the day Oral contraceptives are known to lower blood levels of folate and vitamin B6. Figure- Oral contraceptives Which of the following conversion processes might be directly affected ? A. Ornithine to Citrulline B. Histidine to histamine C. Glutamate to Glutamine D. Propionyl co A to Methyl malonyl co A E. Phenyl alanine to Tyrosine For answer follow the link http://usmle.biochemistryformedics.com/answer-case-study-oral-contraceptives-induced-vitamin-deficiencies/ Please help Biochemistry for Medics by “CLICKING ON THE ADVERTISEMENTS” every time you visit us. Thank you!

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