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Eustis, FL
A 34-year-old female 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?

5 doctor answers8 doctors weighed in
Dr. Ahmed Hasan
40 years experience
Fe deficiency Anemia: Iron deficiency anemia. Needs Celiac disease ruled out as well as EGD/COLONOSCOPY performed to find the source.
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Dr. Richard Greenwald
Podiatry 43 years experience
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
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Gurmukh Singh
Pathology 50 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Richard Greenwald
Podiatry 43 years experience
As always, Dr. Singh provides a rational, insightful comment.
Jan 1, 2019
Dr. Donald Colantino
Internal Medicine 62 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Subhasish Bose
Nephrology and Dialysis 18 years experience
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).
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jun 30, 2019

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