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Forum Name: Hematology Topics

Question: confussed!


 gikme - Mon Oct 17, 2005 7:08 am

hi!
i was confussed that some ppl told me that i have anemia some told me that i have leukemia and some told me that i have low volume in iron, which is the answer?

details of my checkup are;

heamoglobin 14.1 (12.5-17.5)gm
RBC 6.2(4.5-6.0) **HIGH
RDW 13(<16)
PCV0.45(0.4-0.5)
MCH 23(27-33)**LOW
MCV 73(78-97)**LOW
MCHC 311 (310-350)**the doctor said its low
platetelet count 287 (150-400)
TOtal WBC 7.4(4-11)


neutrophils 54 (40-75)
lympocytes 32(20-45)
monocytes 10(2-10)
eosinophils 4(1-6)
basophils 0 (0-1)

the summary is

Hb normal
RBC ;Anisopoikilocytosis with hypocromasia. there are mostly microcytes with spheroctes,ovalocytes,target and pencil cells. some cells are hypochromic and some normochromic.
red cell distribution;normal
WBC;normal ,.no abnormal cells seen in PBF studied
platetlets adequate in number and normal in morphology

Impression:erythrocytosis with hypochromic and they suggest me to go hb-electrophoresis.

1) my question is from the above reading what will happen to me?from the red blood cells is it abnormal?
2) or shall i go for the test?
3) i developed eczeama last year, but the dermatologist told me that its a genetic ; so i diditn take much concern into this matter.
4) finally m i fit to work?

thank you for whoever help me with this dilemma..
 Dr. Safaa Mahmoud - Sun Jul 16, 2006 10:40 pm

User avatar Dear gikme,

Causes of true erythrocytosis include:
Primary
Polycythaemia Vera
Idiopathic erythrocytosis

Secondary
Lung disease
Tumours
Renal
Fibroids
Renal disease

I dvise you to repeat the CBC with blood smear, to meausre the level of reticlucytes, blood urates, liver and kideny function tests. If there is a family history of erythrocytosis,a hemoglobin electrophoresis for proper investigation of hereditary hemoglobinopathies , variants with high-oxygen-affinity (low p50).

Keep on follow up with your doctor and keep us updated.

Best rgards,

|

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