A member asked:

My cbc exame show mcv low 77.3 and mch low 22.5 what is the causes and is that mean iam treat thalassemia . hg electrophoresis all normal afsa2?

4 doctors weighed in across 3 answers
Dr. Michael Dugan answered

Specializes in Hematology

That is just: Slightly low. In a young woman the most likely diagnosis is iron deficiency.

Answered 10/5/2013

5.3k views

Thank
Dr. James Ball answered

Specializes in Pediatric Hematology and Oncology

Iron Deficiency: Your numbers are only slightly low. You are in a region where beta-thalassemia is common, but you hemoglobin electrophoresis does not show that. I trial of iron supplements and a repeat of your numbers in a few weeks makes sense. If not better, then additional tests may be needed.

Answered 10/4/2016

5.3k views

Thank
Dr. Michael Thompson answered

Specializes in Hematology and Oncology

Low MCV often IDA: I agree with other responders that a low MCV is likely iron deficiency anemia (ida). However, instead of assume that and treat, some simple tests can be done. CBC w/diff, peripheral blood smear, reticuloctye count, EPO level, ferritin & other iron studies. Ferritin tends to be the best iron study for determination of ida. Also a ua (for microhematuria) and fob (fecal occult blood test).

Answered 6/18/2017

5.3k views

Thank

Related Questions

Sponsored Content
HealthTap Medical Group does not endorse products or services. Sponsored content revenues support our mission to make health information free and accessible to all.Learn more