A 36-year-old female asked:
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high h&h, high mcv, low mchc, low rdw, neutropenia, & lymphocytosis all values recurring for a few years. b12 therapy for macrocytosis ineffective. no drugs/alcohol. do smoke cigarettes. any ideas?

1 doctor answer
Dr. Richard Zimon
58 years experience Internal Medicine
Yes: My Opinion Only I suggest you have a bone marrow study. This could represent a "Pre-Leukemic" state...not to scare you JUST an "idea" as you requested. BY NO MEANS AM I MAKING A DIAGNOSIS This situation is UNUSUAL and this is just a thought! Hope this helps you/ Dr Z
Answered on Dec 6, 2015
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