A member asked:

Hemoglobin 9.5, serum iron 17 mcg/dl, ferritin 14.7 ng/ml, transferrin 313 mg/dl. iron deficiency anemia or anemia of chronic disease?

8 doctors weighed in across 5 answers

Fe deficiency Anemia: Iron deficiency anemia. Needs Celiac disease ruled out as well as EGD/COLONOSCOPY performed to find the source.

Answered 1/7/2019

232 views

Thank
Dr. Richard Greenwald answered

Specializes in Podiatry

Anemia : There are many types of anemia, some dietary, genetic, or a systemic process. Consult a hematologist for clarification. With the limited information—Gather your tests, and see your doc

Answered 1/2/2019

232 views

Thank

Iron deficiency: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, the information you provided is consistent with iron deficiency anemia.

Answered 1/2/2019

232 views

Thank

Anemia: The results are not totally diagnostic of iron deficiency anemia as the transferrin level is not elevated. I like to see an elevated iron binding capacity to unequivocally diagnose iron deficiency anemia. Anemia of chronic disease is a possibility here. Nevertheless a search for blood loss is still advisable. A hematologist would be helpful in this case.

Answered 1/4/2019

232 views

Thank
Dr. Subhasish Bose answered

Specializes in Nephrology and Dialysis

Iron deficiency: It is iron deficiency anemia. Either you are absorbing less iron (poor iron intake, malabsorption, celiac disease etc) or you are losing blood (Peptic ulcer disease, GERD, hemorrhoidal bleeding etc).

Answered 6/30/2019

231 views

Thank

Related Questions