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Blood test done, high RDW, low MCHC, low neutrophils, high lymphs. Anaemia?

My son is 13 yrs. old. Just got back his blood results. High RDW (slightly elevated at 14.8% - normal range should be 12.3-14.5)) - Low MCHC (slightly low at 32.5% - normal range should be 33.0-36.0). Also, noticed that his Neutrophils were slightly low at 37% (normal range should be 40-70) and his Lymphs were slightly high at 48% (normal range should be 20-47) - is this indicative of anything concerning - possibly anemia?
Asked On : Tue, 10 Apr 2012
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

On the basis of information provided by you, a low MCHC is suggestive of anemia. However, the type of anemia can only be determined if hemoglobin levels, RBC count, MCV and MCH are also known.
RDW will increase if there is variation in sizes of RBCs.
Usually in anemias there is variation in the sizes of RBCs.
However, the value of MCHC is only mildly decreased so anemia if present is mild.

The slight increase or decrease in percentage of neutrophils and lymphocytes may be insignificant.
A total leucocyte count (TLC) and absolute numbers of WBCs need to be known to make any comment.
If the absolute lymphocyte count is more than 3000 and absolute neutrophil count is more than 4000, then it is significant.
An increase in lymphocyte count signifies a chronic infection and an increase in neutrophil count is indicative of acute infection.
Else there is nothing to worry.

Thanks and take care.
Dr Shailja P Wahal

Answered: Thu, 25 Apr 2013
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