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Gynaecology & Obstetrics Medical Illness Complicating Pregnancy 308f7f52

Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy?

A
Vitamin B6
B
Vitamin B12
C
Vitamin A
D
Folic acid
High-Yield Explanation
Phenytoin inhibits the enzyme intestinal conjugase, an impoant enzyme in folic A. Metabolism. Folate is present in food in a polyglutamate form. This is conveed into monoglutamates by intestinal conjugase to be absorbed in the jejunum. Phenytoin acts by inhibiting this enzyme thereby causing folate deficiency and thus megaloblastic anemia.

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