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Have thallasemia trait minor. Blood test shows anisopoikilocytosis. Please advise

Hello, The blood Report of my wife aged 37 years says MILD ANISOPOIKILOCYTOSIS. MICROCYTIC HYPOCHROMIC WITH ELLIPTOCYTES & OVALOCYTES. She has Thallasemia Trait (Minor) Her counts are CLINICAL INFORMATION HAEMATOLOGY CBC-5, BLOOD COMPLETE BLOOD COUNT , BLOOD RED BLOOD CELL COUNT H 5.52 3.8 - 4.8 mil/μL HEMOGLOBIN L 10.8 12.0 - 15.0 g/dL HEMATOCRIT L 34.0 36 - 46 % MEAN CORPUSCULAR VOLUME L 61.7 83.0 - 101.0 fL MEAN CORPUSCULAR HEMOGLOBIN L 19.6 27.0 - 32.0 pg MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION 31.7 31.5 - 34.5 g/dL RED CELL DISTRIBUTION WIDTH H 16.0 11.6 - 14.0 % PLATELET COUNT 281 150 - 410 thou/μL MEAN PLATELET VOLUME 8.7 6.8 - 10.9 fL WHITE BLOOD CELL COUNT 7.3 4.0 - 10.0 thou/μL WBC DIFFERENTIAL COUNT NEUTROPHILS 60 40 - 80 % EOSINOPHILS 2 1 - 6 % LYMPHOCYTES 32 20 - 40 % MONOCYTES 6 2 - 10 % BASOPHILS 0 1 - 2 % MORPHOLOGY RBC MILD ANISOPOIKILOCYTOSIS. MICROCYTIC HYPOCHROMIC WITH ELLIPTOCYTES & OVALOCYTES. WBC NORMAL MORPHOLOGY PLATELETS ADEQUATE Test Method(s) COMPLETE BLOOD COUNT, BLOOD-Spectrophotometric/ Electronic Impedence/ Calculation MORPHOLOGY-Microscopy Please advise
Asked On : Sat, 1 Sep 2012
Answers:  2 Views:  158
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General & Family Physician 's  Response
Sep 2012
Hi, Welcome to HCM, I am Dr. Das
The test result indicates microcytic hypochromic anaemia with anisopoikilocytosis and presence of elliptocytes and ovalocytes. Others are normal.
This type of anaemia is a characteristic feature of Thalassemia minor. It only needs hematinic that means iron therapy. If hemoglobin level does not response to that then blood transfusion should be a consideration.
Answered: Mon, 3 Sep 2012
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General & Family Physician Dr. Harish Naik's  Response
Hello,

Welcome to HCM,

Your wife CBC report is almost in normal range, except for mild anisopokilocytosis.

No need to worry as anisopokilocytosis is common in thalassemia.

I advise you for regular follow up.

Regards
Answered: Sat, 1 Sep 2012
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