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Cited by 511

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Guidelines for the diagnosis and treatment of cobalamin and folate disorders

Open access
Devalia, Vinod, Hamilton, Malcolm S., Molloy, Anne M., the British Committee for Standards in Haematology·2014·British Journal of Haematology

Abstract

Summary of key recommendations: The clinical picture is the most important factor in assessing the significance of test results assessing cobalamin status because there is no ‘gold standard’ test to define deficiency. Serum cobalamin currently remains the first‐line test, with additional second‐line plasma methylmalonic acid to help clarify uncertainties of underlying biochemical/functional deficiencies. Serum holotranscobalamin has the potential as a first‐line test, but an indeterminate ‘grey area’ may still exist. Plasma homocysteine may be helpful as a second‐line test, but is less specific than methylmalonic acid. The availability of these second‐line tests is currently limited. Definitive cut‐off points to define clinical and subclinical deficiency states are not possible, given the variety of methodologies used and technical issues, and local reference ranges should be established. In the presence of discordance between the test result and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment. Treatment of cobalamin deficiency is recommended in line with the British National Formulary. Oral therapy may be suitable and acceptable provided appropriate doses are taken and compliance is not an issue. Serum folate offers equivalent diagnostic capability to red cell folate and is the first‐line test of choice to assess folate status.

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Metadata

Authors
Devalia, V., Hamilton, M. S., Molloy, A. M., & the British Committee for Standards in Haematology
Venue
British Journal of Haematology
Publisher
Wiley
Published
2014-06-18
Volume
166
Issue
4
Pages
496-513
ISSN
  • 0007-1048 (ISSN-L)
  • 1365-2141
OpenAlex
W2118076374
Cited by
511
References
8
FWCI
13.77
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Guidelines for the diagnosis and treatment of cobalamin and folate disorders. https://app.cochat.ai/papers/10.1111/bjh.12959
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Devalia, V., Hamilton, M. S., Molloy, A. M., & the British Committee for Standards in Haematology. (2014). Guidelines for the diagnosis and treatment of cobalamin and folate disorders. British Journal of Haematology. https://doi.org/10.1111/bjh.12959

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.