Question

A 58-year-old man with a history of alcohol excess presents with fatigue. Blood tests show: Hb 105 g/L, MCV 110 fL (Macrocytic). Vitamin B12 and Folate levels are normal. LFTs are deranged. What is the most likely cause of his macrocytosis?

Accepted Answer

Alcohol excess / Liver disease

Answer

Vitamin B12 deficiency

Answer

Folate deficiency

Answer

Myelodysplastic syndrome (MDS)

Answer

Hypothyroidism

Practice question

A 58-year-old man with a history of alcohol excess presents with fatigue. Blood tests show: Hb 105 g/L, MCV 110 fL (Macrocytic). Vitamin B12 and Folate levels are normal. LFTs are deranged. What is the most likely cause of his macrocytosis?