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A 33-year-old female asked:

Wbc 4.9, neutrophils 58.5, lymphocytes 30.9, monocytes 10.4, eosinophils 0, basophils 0.2. rbc 4.78, hemoglobin 10.1, hematocrit 34.8, mcv 72.8, mch 21.1, mchc 29, rdw-cv 17.1, platelet count 370. is this report a cause of worry? anemia or thalassemi?

2 doctor answers3 doctors weighed in
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 43 years experience
Small red cells (microcytosis) and normal RBC count is consistent with minor or trait thalassemia. However, to rule out confounding iron deficiency, TIBC and Ferritin level should be checked to confirm normal iron status.
Dr. Hunter Handsfield
Infectious Disease 54 years experience
This is entirely normal except for the mild anemia, which was previously answered. Thalassemia might be a cause of anemia, but still seems less likely than iron deficiency.

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Last updated Aug 22, 2021

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