What Does This Haematology Report Indicate?

Posted on Tue, 17 Mar 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 17 Mar 2015 Answered on

Thu, 9 Apr 2015 Last reviewed on

Question : My haematology report depicts: RBC-normalcy tic hypo chromic with few polychromatic cells,few macrocytes,few target cells and RBCs shows rouleaux formation and anisopoikilocytosis Impression:Iron deficiency anemia with vitamin B12 deficiency advise serum ferritin Complete Blood Count stands as:WBC(TC)-5420 RBC Count-3.9 Haemoglobin-12.4 Haematocrit(PCV) 37.4 MCV 95.4 MCH 31.6 MCHC 33.2 Platelet Count 188000 Differential Count Neutrophils 64.1 Lymphocytes 27.5 Monocytes 4.4 Eosinophils 3.3 Basophils 0.7 ESR 23.0. Plz advise what to do and prescribe remedies....XXXXX XXXXXXX #0000 Email YYYY@YYYY

Answered by Dr. Hardik Sanghvi (19 minutes later)

Brief Answer:
You may have iron and vitamin B12 deficiency.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your complete blood count is normal.
You have anisopoikilocytosis. It means you have variations in size of rbcs. You have microcytic rbcs suggest iron deficiency and macrocytic rbcs suggest vitamin B12 or folic acid deficiency.

You should go for serum iron, ferritine and vitamin B12 level to confirm thf diagnosis.
Then you should take ferrous sulphate or ferrous fumarate, folic acid and vitamin B12 supplements according to need.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Hardik Sanghvi (2 days later)

Plz prescribe as tests suggested by you reads as---
Serum Vitamin B12 (ECLIA): 180.0 pg/ml
Serum Ferritin (ECLIA): 106.9 ng/ml
SERUM IRON STUDIES
Total Iron (Ferene): 95 microg?dl
Total Iron Binding Capacity (Ferene): 387 microg/dl
Transferrin Saturating (Calculation) 24.5%

Answered by Dr. Hardik Sanghvi (1 hour later)

Brief Answer:
No need to worry.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your iron study is normal. Your vitamin B12 level is at low normal range. So you should take vitamin B12 supplements. No any other treatment is required at this stage.
You should repeat your complete blood count after a month and check the improvement. If it doesn't respond to treatment then you should go for further investigation accordingly. Right now no need to worry. Just be relaxed.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj