Failure of in-vivo inhibition of acetylcholinesterase to affect erythrocyte life-span: the significance of the enzyme defect in paroxysmal nocturnal haemoglobinuria.
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Biomedical subjects
Publications and source records attributed to J METZ.
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The folic acid clearance test of Chanarin (1958) has been studied in normal white subjects, patients with megaloblastic anaemia, healthy Bantu males, Bantu females, hospital patients without anaemia, and in patients with scurvy. The test clearly distinguishes patients with megaloblastic anaemia, where clearance from the plasma of injected folic acid is abnormally rapid, from normal subjects. The rate of clearance of folic acid is abnormally rapid both in vitamin B(12) and in folic acid deficiency. Rapid clearance of injected folic acid in patients with primary B(12) deficiency may be the result of a conditioned deficiency of folic acid. The test is sufficiently sensitive to detect body deficiency of folic acid before the development of anaemia. In patients with scurvy, folic acid is cleared from the plasma abnormally rapidly. It is suggested that this may be the result of an associated dietary deficiency of folic acid.
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The absorption of (60)CoB(12) has been studied in a group of patients suffering from megaloblastic anaemia associated with pregnancy and in a control group. The mean urinary excretion of (60)CoB(12) in the patients with megaloblastic anaemia is not significantly different from that of the control group. Five of the 30 patients showed a value towards the lower limit of normal, but the serum vitamin B(12) content in this group was within the normal range. Malabsorption of vitamin B(12) does not appear to play a significant role in the pathogenesis of this form of megaloblastic anaemia.
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