A member asked:

My blood test came back: rbc 3.99; mcv 99.0; mch 31.3; mchc 31.6. all other blood tests are normal. what could this be? i have ra and ild and take enbrel and cellcept. could these cause this?

5 doctors weighed in across 3 answers
Dr. Ronald Abramson answered

Specializes in

I am afraid that I don't remember what these values should be. If they are all too high, then maybe polycythemia.

Answered Sep 29, 2021

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Dr. Shailendra Singh answered

Specializes in Rheumatology

Looking at the numbers, they do not seem to be too deranged, these are different indices of red blood cells which are useful to differentiate the possible causes anemia, if someone have anemia, if your hemoglobin and hematocrit are normal, as you question suggest, these is not much significance of these indices. Make sure you discuss with your rheumatologist who will be able explain more in detail

Answered Sep 29, 2021

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Dr. Amrita Dosanjh answered

Specializes in Pediatric Allergy and Asthma

The normal values MCV, MCH, MCHC should be found on the lab report next to the value reported. MCV is a little bit high. MCHC and MCH are within the normal range. The context of other lab values and prior labs would be helpful.

Answered Oct 3, 2021

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