Is it possible to have a normal hemoglobin but low MCH and mchb and platelet count of 482 to be considered microcytic anemia?

Not anemia. With a normal hemoglobin and hematocrit, by definition you are not anemic. If your MCV is low in this context then you simply have microcytic red blood cells. This can be seen in some hereditary syndromes such as thallasemia. It is also possible that your iron stores may be in the process of being depleted and frank anemia has not emerged yet. Discuss with your doctor obtaining iron studies.
Yes. A low mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (mchc), even in the absence of a low mean corpuscular volume (MCV) or low rbc count can be a sign of a evolving microcytic anemia. Microcytosis can be caused by iron deficiency (check ferritin level) or thallesemia (check hemoglobin electrophoresis). Hope that this helps.

Related Questions

Baby has iron deficiency anemia and has fever for 3 days now. Lab results show normal platelet count, low hemoglobin, high wbc. Is this an emergency?

Not necessarily. You don't mention how old the baby is, but iron deficiency is rare before 6 months except in babies born prematurely. You don't mention how low the hemoglobin is, but unless it's very low the fever should not be a problem. If you're concerned, the doctor caring for the baby's anemia would have the best idea how concerned to be about the fever and the anemia. Read more...
Doesn't sound like . It, if your child truly is 1yo. A few days of fever, due to a viral illness for example, is not uncommon. I'd give you a different answer for a 2-3mo child. If your child is staying well hydrated despite the insensible losses, he will probably be fine. If you're uncertain, go see your pediatrician. The blood counts by themselves are not that concerning, provided anemia is being treated. Read more...

Can macrocytic anemia be due to colon cancer? Mcv 103 and hemoglobin 9.8 for old male. I know only microcytic anemia aan be due to colon cancer?

Yes it depends. You are right that anemia from blood loss like from colon cancer is typically microcytic with a low MCV but the MCV in your case is not high enough to suspect a typical macrocytic anemia like one due to B12 deficiency. Yet we can have a mixed picture. At the moment we are only guessing all this till you have the right investigating/testing done. So i would check your B12 level and bone marrow exam. Read more...