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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood Test Done. What Does Result Mean? Platelets, WBC Adequate In Numbers, Predominance Of Neutrophils

Hi doctor, I m clarize, I would like to ask what this blood test result means: microcytic, slightly hypochromic red blood cells with mild anisopoikilosytosis (few ovalocytes/elliptocytes, fragmented, target and tear drop cells). Platelets and white blood cells are adequate in numbers with predominance of neutrophils. Occasional hypersegmented neutrophils seen. No primitivy noted. I am a female, 5 5 in height, bout 55kgs in weight and age 37. I will appreciate if you can enlighten me on this. Thank you so much doctor.
Mon, 25 Feb 2013
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General & Family Physician 's  Response
Hello Clarize,

The results you asked for interpretation are those of a Complete Blood Cell Count (CBC). Blood is made up essentially of three main cell types: Red blood cells (RBC) which carry oxygen, white blood cells (which are of different types) which have multiple functions especially that of defense and platelets which help in blood clotting.

Normally red blood cells are red and have a characteristic shape. Your results show that your red blood cells are paler than normal (hypochromic, a composite word got from the root words 'hypo' ='less' and 'chromia'='colored') and mildly abnormal in shape (An-iso-poikilocytosis). They have several abnormal shapes. Some are like ellipses (elliptocytes), others oval in shape (ovalocytes), tear-drop shaped, target-shaped while some are fragmented.

The two other cell types (platelets and white blood cells) are within the acceptable normal range in number. The predominant white blood cell type found in your results are neutrophils, some of which have a peculiar shape: multiple segmented nucleus/cell center. NO premature cells (primitivy; which are suggestive of blood cancer) were found in your blood. :-)

Iron deficiency can explain your abnormal red blood cells and Vitamin B12 deficiency, your hyper-segmented neutrophils. See your physician who will prescribe the appropriate medication and advise you need to correct the above anomalies. In general there is not so much to worry about for all what was observed can be easily corrected.

Wish you a quick recovery. :-)

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Blood Test Done. What Does Result Mean? Platelets, WBC Adequate In Numbers, Predominance Of Neutrophils

Hello Clarize, The results you asked for interpretation are those of a Complete Blood Cell Count (CBC). Blood is made up essentially of three main cell types: Red blood cells (RBC) which carry oxygen, white blood cells (which are of different types) which have multiple functions especially that of defense and platelets which help in blood clotting. Normally red blood cells are red and have a characteristic shape. Your results show that your red blood cells are paler than normal (hypochromic, a composite word got from the root words hypo = less and chromia = colored ) and mildly abnormal in shape (An-iso-poikilocytosis). They have several abnormal shapes. Some are like ellipses (elliptocytes), others oval in shape (ovalocytes), tear-drop shaped, target-shaped while some are fragmented. The two other cell types (platelets and white blood cells) are within the acceptable normal range in number. The predominant white blood cell type found in your results are neutrophils, some of which have a peculiar shape: multiple segmented nucleus/cell center. NO premature cells (primitivy; which are suggestive of blood cancer) were found in your blood. :-) Iron deficiency can explain your abnormal red blood cells and Vitamin B12 deficiency, your hyper-segmented neutrophils. See your physician who will prescribe the appropriate medication and advise you need to correct the above anomalies. In general there is not so much to worry about for all what was observed can be easily corrected. Wish you a quick recovery. :-)