PT - JOURNAL ARTICLE AU - A. M. Shojania TI - Problems in the diagnosis and investigation of megaloblastic anemia DP - 1980 May 10 TA - Canadian Medical Association Journal PG - 999--1004 VI - 122 IP - 9 4099 - http://www.cmaj.ca/content/122/9/999.short 4100 - http://www.cmaj.ca/content/122/9/999.full SO - CMAJ1980 May 10; 122 AB - The diagnosis of megaloblastic anemia and the differentiation of folate and vitamin B12 deficiency require, in addition to careful attention to the history and physical findings, the use of laboratory tests. In this paper the commonly ordered tests for such a diagnosis are discussed, with emphasis on the conditions that may cause false-positive or false-negative results in the complete blood count, examination of a peripheral blood smear and a bone marrow specimen, serum and erythrocyte folate assays, serum vitamin B12 assays, tests of vitamin B12 absorption and gastric analysis.