Doctor insights on:
Macrocytic Hyperchromic Anemia
Both are ways of....: Describing features of blood cells. Anemia means your red cell mass is 2 standard deviations below the lower norm for age and sex. Macrocytic means the rbcs are bigger than expected (normal red cell size falls within a normal range) and size gives us clues as to the cause of the anemia. Leukopenia means your total WBC count is below normal. A differential is really needed to interpret leukopenia. ...Read more
What is considered abnormal retic count for a 70 yrs man with macrocytic anemia? His Hb is 9. His retic count .85% and retic shape is normal.
Depends.: Retic count should be 1% with a normal Hgb. For a 70 y/o male, that would be about 13. As Hgb goes down young red cells (retics) should go up to correct the deficit. In this case about 2.5 - 3% at least. 0.85% shows poor RBC production. With macrocytosis (large RBCs) consider B12, folate (folic acid) deficiency, certain drugs, liver disease, low thyroid, myelodysplastic syndrome & other bone marrow disease ...Read more
Which type of anemia is more serious and could be due to bloo cancer? Is it macrocytic or microcyyoc anemia? Mcv 107 is it too high? Thanks
Both: Microcytic anemia is most often due to iron deficiency and blood loss. Macrocytic anemia(mcv over 96) can be due to vitamin B12 or Folic Acid deficiency, alcoholism, liver disease, some bone marrow disorders like leukemia, underactive thyroid or rarely fish tapeworms. All anemias are dangerous if not properly diagnosed and treated. A hematologist is consulted if the cause of the macrocytosis is vague. ...Read moreSee 2 more doctor answers
Dad 70 yrs old has macrocytic anemia. All else normal. Hos hb went up from 9.2 to 10.2 in two month without medicine. Does that rule out mds?
Not really...: The presence of macrocytic anemia should be investigated further. It is true that it could be a sign of mds but other causes are possible including vitamin b12/folate deficiency. His hemoglobin is still low and the fact it went up a little does not really rule out anything. ...Read moreSee 1 more doctor answer
Yes: Hypothyroidism can cause macrocytic anemia. This anemia is due to poor nutrition and/or poor absorption of folate and B12. Thyroid hormones assist in that absorption, so low levels of T3 (liothyronine) and T4 can lead to that anemia. Treatment should not only address the anemia, but also the hypothyroidism. ...Read moreSee 1 more doctor answer
Reticulocyte count is .85% for a 70 years old man with macrocytic anemia. Hb is 9 and MCV is 105. Is the reticulocyte count normal?
Probably not: In patients without anemia, a normal retic count is 1%. As anemia develops, if the marrow can respond, the retic count should rise, meaning more red blood cells are being made. Whatever is causing your anemia (with an elevated MCV), such as B12 deficiency or other causes, is also inhibiting your bone marrow from making new cells and thus your retic count is inappropriately low. ...Read more
If platelts and WBC are normal. Just macrocytic anemia. Hb 10, RBC 2.8. 70 yrd old. Suppose mds. Health great. Prognosis of such mds? Thanks
Anemia in theelderly: You are jumping into wrong conclusion.Many causes besides myelodysplasia causing macrocytic anemia; alcoholism, hypothyroid, cancer stomach, chronic liver disease, drugs, hemolysis. If you are to have myelodysplasia hemoglobin is one of five criteria to set the risk group so risk stratification needs bone marrow studies to check for blast percentages and cytogenetics and platelets. ...Read moreSee 1 more doctor answer
Am 70yrs. I had bad depresion for 14 month, eat once daily and sleep 3 hrs. Does that cause macrocytic anemia. B12, folic ok. Can it be bad absorption?
Yes.: I may have answered this already .Depression can cause poor appetite and may cause malnutrition over a long period of time . However if your B12 and Folic Acid are normal, then I do not believe you have macrocytic anemia. The cause of macrocytic anemia is due to the absence of intrinsic factor in your stomach causing malabsorption of nutrients that can cause macrocytic anemia. ...Read more
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