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A 37-year-old female asked:

64 y/0 male italian -high rbc 7.3- low mcv- 65- nml iron panels- nml hemoglobin - dr says possible thalassemia. would this be thal major? or thalassemia trait?

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Dr. Richard Romano
Dr. Richard Romanoanswered
Internal Medicine 11 years experience
Thamassemia: The difference between the two is best evaluated with an analysis of the hemoglobin. Thalassemia major is the most severe form of beta thalassemia and causes severe anemia from childhood. It's unlikely a 64 yo man would not know he has a thalassemia major and have it.
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Last updated Feb 5, 2021

Found in:

Male health›Thalassemia›Iron

People also asked

RBC 5.20 High, hemogobin13.1, hematocrit 42.8, MCV 82.3, MCH 25.2 Low, MCHC 30.6 Low, RCDW 15.1 Low Doctor says there is no need for an iron panel as he says hemoglobin is not low so he says it cant be iron defiency, but why are so many tests off?
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I am low in all haemoglobin, RBC, PVC, MCV, MCH, MCHC but a high RDW. My iron is only 1.6 umol/L. Is it possible I have thalassemia?
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My husband family has thalassemia. But my husband always has normal RBC, hgb, MCV, MCHC, MCH. He doesnt have iron deficiency either. Is there a high possibility he has the trait ?
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I have hemoglobin 10.6 (low).I have iron serum of 25 micrograms.dl. Unsaturated IBC 358 High, Total TIBC 383(normal) and % iron sat 7%.My RBC normal , (MCV MCH, MCHC) low and RDW hIgh iS it IDA/ACD?
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Normal hemoglobin, wbc and rbc. Normal mcv. Low mch and mchc. High rdw. High monocyte %. Taking iron for 3 months.
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