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What Are The Findings From The Report? Any Abnormality?
Question: Dear Dr XXXXXXX
Following is my wife's report and alert says : Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with microcytes &
ovalocytes
Also vit b12 157
Vit D 15
please guide.
TEST NAME METHOD VALUE UNITS
SELF XXXXXXX XXXXXXX (41Y/F)
HBA,HEMOGRAM - 6 PART (DIFF) 0000/HOME
0000/HAR39
:
:
:
:
:
:
DIABETES SCREEN (BLOOD)
DATE 12 Aug 2013
HbA1c H.P.L.C 6.1 %
Reference Range :
Below 6.0% - Normal Value
6.0% - 7.0% - Good Control
7.0% - 8.0% - Fair Control
8.0% - 10% - Unsatisfactory Control
Above 10% - Poor Control
Technology : FULLY AUTOMATED H.P.L.C USING TOSOH G8.
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 128 mg/dl
Reference Range :
90 - 120 mg/dl : Excellent Control
121 - 150 mg/dl : Good Control
151 - 180 mg/dl : Average Control
181 - 210 mg/dl : Action Suggested
> 211 mg/dl : Panic Value
(Note: Average Blood Glucose value is calculated from HBA1c value and it indicates Average Blood Sugar
level over past three months.)
Technology : Derived from HBA1c values
Please correlate with clinical conditions.
Home Collection
EDTA
12 Aug 2013 07:59
12 Aug 2013 01:49
: 11 Aug 2013 07:30
:
:
:
Collected at (SCP) :
Sample Type
Report Released on
(RRT)
Sample Received on
(SRT)
Sample Collected on
(SCT)
Dr. XXXXXXX Sakhare MD Dr.Caesar Sengupta MD
Page : 1 of 2
TEST NAME VALUE UNITS REFERENCE RANGE
NAME
LABCODE
DATE
SELF XXXXXXX XXXXXXX (31Y/F)
REF. BY
TEST ASKED HBA,HEMOGRAM - 6 PART (DIFF) BARCODE 0000/HOME
0000/HAR39
:
:
:
:
:
:
12 Aug 2013
TOTAL LEUCOCYTES COUNT 5.57 X 10³ / μL 4.4 - 11.0
NEUTROPHILS 40 % 40-80
LYMPHOCYTE PERCENTAGE 55 % M:20-40; F:20-40
MONOCYTES 3 % 0-10
EOSINOPHILS 1.5 % 0-6
BASOPHILS 0.2 % 0-1
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 2.23 X 10³ / μL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 3.06 X 10³ / μL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.17 X 10³ / μL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.08 X 10³ / μL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.02 X 10³ / μL 0.03
TOTAL RBC 5.16 X 10^6/μL Male : 4.3-5.9 Female : 3.5-5.0
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL Nil in adults
HEMOGLOBIN 12.5 g/dL Male : 13.3-17.7 Female : 11.7-15.7
HEMATOCRIT(PCV) 43.7 % Male : 39.8-52.2 Female : 34.9-46.9
MEAN CORPUSCULAR VOLUME(MCV) 84.7 fL 76-100
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 24.2 pq 27.0-33.0
MEAN CORP.HEMO.CONC(MCHC) 28.6 g/dL 33.4-37.0
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 50.8 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 16.3 % 11.5-14.5
PLATELET DISTRIBUTION WIDTH(PDW) 15.66 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 10.8 fL 6.5-12.0
PLATELET COUNT 253 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 49.5 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.33 % 0.19 - 0.39
ERYTHROCYTE SEDIMENTATION RATE (ESR) 10 mm / hr Male : 0-15 Female : 0-20
: Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with microcytes &
ovalocytes.
Remarks
Technology : Fully automated bidirectional analyser (6 Part Differential SYSMEX XN-1000)
(This device performs hematology analyses according to the Hydrodynamic Focussing (DC method), Flow Cytometry
Method (using a semiconductor laser), and SLS- hemoglobin method)
Please Correlate with clinical conditions.
Home Collection
EDTA
12 Aug 2013 07:59
12 Aug 2013 01:49
: 11 Aug 2013 07:30
:
:
:
Collected at (SCP) :
Sample Type
Report Released on (RRT)
Sample Received on (SRT)
Sample Collected on (SCT)
Dr. XXXXXXX Sakhare MD Dr.Caesar Sengupta MD
Page : 2 of 2
~~ End of report ~~
Following is my wife's report and alert says : Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with microcytes &
ovalocytes
Also vit b12 157
Vit D 15
please guide.
TEST NAME METHOD VALUE UNITS
SELF XXXXXXX XXXXXXX (41Y/F)
HBA,HEMOGRAM - 6 PART (DIFF) 0000/HOME
0000/HAR39
:
:
:
:
:
:
DIABETES SCREEN (BLOOD)
DATE 12 Aug 2013
HbA1c H.P.L.C 6.1 %
Reference Range :
Below 6.0% - Normal Value
6.0% - 7.0% - Good Control
7.0% - 8.0% - Fair Control
8.0% - 10% - Unsatisfactory Control
Above 10% - Poor Control
Technology : FULLY AUTOMATED H.P.L.C USING TOSOH G8.
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 128 mg/dl
Reference Range :
90 - 120 mg/dl : Excellent Control
121 - 150 mg/dl : Good Control
151 - 180 mg/dl : Average Control
181 - 210 mg/dl : Action Suggested
> 211 mg/dl : Panic Value
(Note: Average Blood Glucose value is calculated from HBA1c value and it indicates Average Blood Sugar
level over past three months.)
Technology : Derived from HBA1c values
Please correlate with clinical conditions.
Home Collection
EDTA
12 Aug 2013 07:59
12 Aug 2013 01:49
: 11 Aug 2013 07:30
:
:
:
Collected at (SCP) :
Sample Type
Report Released on
(RRT)
Sample Received on
(SRT)
Sample Collected on
(SCT)
Dr. XXXXXXX Sakhare MD Dr.Caesar Sengupta MD
Page : 1 of 2
TEST NAME VALUE UNITS REFERENCE RANGE
NAME
LABCODE
DATE
SELF XXXXXXX XXXXXXX (31Y/F)
REF. BY
TEST ASKED HBA,HEMOGRAM - 6 PART (DIFF) BARCODE 0000/HOME
0000/HAR39
:
:
:
:
:
:
12 Aug 2013
TOTAL LEUCOCYTES COUNT 5.57 X 10³ / μL 4.4 - 11.0
NEUTROPHILS 40 % 40-80
LYMPHOCYTE PERCENTAGE 55 % M:20-40; F:20-40
MONOCYTES 3 % 0-10
EOSINOPHILS 1.5 % 0-6
BASOPHILS 0.2 % 0-1
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 2.23 X 10³ / μL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 3.06 X 10³ / μL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.17 X 10³ / μL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.08 X 10³ / μL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.02 X 10³ / μL 0.03
TOTAL RBC 5.16 X 10^6/μL Male : 4.3-5.9 Female : 3.5-5.0
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL Nil in adults
HEMOGLOBIN 12.5 g/dL Male : 13.3-17.7 Female : 11.7-15.7
HEMATOCRIT(PCV) 43.7 % Male : 39.8-52.2 Female : 34.9-46.9
MEAN CORPUSCULAR VOLUME(MCV) 84.7 fL 76-100
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 24.2 pq 27.0-33.0
MEAN CORP.HEMO.CONC(MCHC) 28.6 g/dL 33.4-37.0
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 50.8 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 16.3 % 11.5-14.5
PLATELET DISTRIBUTION WIDTH(PDW) 15.66 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 10.8 fL 6.5-12.0
PLATELET COUNT 253 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 49.5 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.33 % 0.19 - 0.39
ERYTHROCYTE SEDIMENTATION RATE (ESR) 10 mm / hr Male : 0-15 Female : 0-20
: Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with microcytes &
ovalocytes.
Remarks
Technology : Fully automated bidirectional analyser (6 Part Differential SYSMEX XN-1000)
(This device performs hematology analyses according to the Hydrodynamic Focussing (DC method), Flow Cytometry
Method (using a semiconductor laser), and SLS- hemoglobin method)
Please Correlate with clinical conditions.
Home Collection
EDTA
12 Aug 2013 07:59
12 Aug 2013 01:49
: 11 Aug 2013 07:30
:
:
:
Collected at (SCP) :
Sample Type
Report Released on (RRT)
Sample Received on (SRT)
Sample Collected on (SCT)
Dr. XXXXXXX Sakhare MD Dr.Caesar Sengupta MD
Page : 2 of 2
~~ End of report ~~
Hello,
Thanks for the query.
Brief answer...low VIT D and low VIT B12 levels along with some iron deficiency anemia resulting in fatigue and lethargy.
Detailed answer....
Your wife's report has....
Low VIT D
Low VIT B12
Slight anisipoikilocytosis
Slightly low MCH and MCHC
Slightly high RDW
Anisipoikilocytosis means blood cells shape are different and is found in anemia
High RDW means low VIT B 12,in this context
Low MCH and MCHC means slight iron deficiency
Treatment involves
Giving VIT D in the dose of 0000 units every week for 8 weeks and then every fortnight for eight weeks and then every month
Giving inj.VIT B12 every alternate days for 8-10 injections and then every month
Give a iron preparation like dexorange one caps every day
Healthy eating with plenty of green vegetables,fresh fruits,dairy products etc.
However you must consult your doctor for proper prescription and advise.
I hope it helps however you may revert to me for any further query.
Best of luck
Thanks
Thanks for the query.
Brief answer...low VIT D and low VIT B12 levels along with some iron deficiency anemia resulting in fatigue and lethargy.
Detailed answer....
Your wife's report has....
Low VIT D
Low VIT B12
Slight anisipoikilocytosis
Slightly low MCH and MCHC
Slightly high RDW
Anisipoikilocytosis means blood cells shape are different and is found in anemia
High RDW means low VIT B 12,in this context
Low MCH and MCHC means slight iron deficiency
Treatment involves
Giving VIT D in the dose of 0000 units every week for 8 weeks and then every fortnight for eight weeks and then every month
Giving inj.VIT B12 every alternate days for 8-10 injections and then every month
Give a iron preparation like dexorange one caps every day
Healthy eating with plenty of green vegetables,fresh fruits,dairy products etc.
However you must consult your doctor for proper prescription and advise.
I hope it helps however you may revert to me for any further query.
Best of luck
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
does ceaserian op and 3 abortions result in permanent damage in body?
vit b12 brand and dosage pl . is methylcobalamine better or hydroxycobalamine
is traditional indian diet XXXXXXX in fats ok after delivery?
does she need ca , mg after 40
vit b12 brand and dosage pl . is methylcobalamine better or hydroxycobalamine
is traditional indian diet XXXXXXX in fats ok after delivery?
does she need ca , mg after 40
Hello,
Thanks for the query.
I will answer them one by one.
1... There is no permanent damage to the body for which one has to be scared or worried about.
2...Although various brands are available,but you can use MECOBALAMINE in the dose of one ampoule alternate day.
Which one is better is highly debatable.While americans use more of hydroxycobalamine,Japaneese use methylcobalamine.
In my opinion methyl form is better as it is very effective,easily available,least expensive,is in form found in food and it's bioavailability in body is very good and is available in both oral as well as injectable preparation.
3... The traditional Indian diet XXXXXXX in fats is not good as it contains more of saturated fats and transfats,which are bad for health.
4... Calcium and magnesium are very important and moreover these have to be given while taking VIT D because their absorption will increase in presence of VIT D.
Thanks
Thanks for the query.
I will answer them one by one.
1... There is no permanent damage to the body for which one has to be scared or worried about.
2...Although various brands are available,but you can use MECOBALAMINE in the dose of one ampoule alternate day.
Which one is better is highly debatable.While americans use more of hydroxycobalamine,Japaneese use methylcobalamine.
In my opinion methyl form is better as it is very effective,easily available,least expensive,is in form found in food and it's bioavailability in body is very good and is available in both oral as well as injectable preparation.
3... The traditional Indian diet XXXXXXX in fats is not good as it contains more of saturated fats and transfats,which are bad for health.
4... Calcium and magnesium are very important and moreover these have to be given while taking VIT D because their absorption will increase in presence of VIT D.
Thanks
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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