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Anemia por deficiencia de folato - Treatment

Tratamiento:

El objetivo es identificar y tratar la causa de la deficiencia de folato.

Los suplementos de ácido fólico se pueden administrar por vía oral o intravenosa y por corto tiempo hasta que la anemia se haya corregido. En el caso de absorción deficiente por parte del intestino, la terapia sustitutiva puede ser de por vida.

El tratamiento dietario consiste en aumentar la ingestión de hortalizas de hoja verde y frutos cítricos.

Expectativas (pronóstico):

La anemia generalmente responde bien al tratamiento en un período de 2 meses.

Complicaciones:

Los síntomas de anemia pueden causar molestia. En las mujeres embarazadas, la deficiencia de folato ha sido asociada con anomalías del tubo neural o defectos de la columna, como la espina bífida, en el bebé.

Otras complicaciones más graves pueden abarcar:

Situaciones que requieren asistencia médica:

Consulte con el médico si tiene síntomas de anemia por deficiencia de folato.

  • Reviewed last on: 1/31/2010
  • Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Antony AC. Megoblastic anemias. In: Hoffman R, Benz EJ, Shattil SS, et al., eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 39.

Kaferie J, Strzoda CE. Evaluation of macrocytosis. Am Fam Physician. 2009;79:203-208.

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