^MCV + reduced folate +/- anaemia

Last reviewed 01/2018

This picture suggests small bowel pathology and malabsorption.

Investigations should include:

  • jejunal biopsy to exclude coeliac disease
  • stool culture and microscopy for Giardia or tropical sprue
  • small bowel enema and radiography to exclude Crohn's disease, jejunal diverticuloses