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Blood Report Shows RBC Mild Anisopoikilocytosis, Normocytic With Ovalocytes. What Does It Mean?
My blood report as following.alert show : Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with ovalocytes.what is it mean and what i do
TOTAL LEUCOCYTES COUNT 5.4 X 10³ / μL 4.4 - 11.0
NEUTROPHILS 75 % 40-80
LYMPHOCYTE PERCENTAGE 20 % M:20-40; F:20-40
MONOCYTES 1.7 % 0-10
EOSINOPHILS 3 % 0-6
BASOPHILS 0.1 % 0-1
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.2 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 4.05 X 10³ / μL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 1.08 X 10³ / μL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.09 X 10³ / μL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.0054 X 10³ / μL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.16 X 10³ / μL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.01 X 10³ / μL 0.03
TOTAL RBC 5.58 X 10^6/μL Male : 4.3-5.9 Female : 3.5-5.0
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL Nil in adults
HEMOGLOBIN 15.8 g/dL Male : 13.3-17.7 Female : 11.7-15.7
HEMATOCRIT(PCV) 54.9 % Male : 39.8-52.2 Female : 34.9-46.9
MEAN CORPUSCULAR VOLUME(MCV) 98.4 fL 76-100
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 28.3 pq 27.0-33.0
MEAN CORP.HEMO.CONC(MCHC) 28.8 g/dL 33.4-37.0
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 56.2 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.6 % 11.5-14.5
PLATELET DISTRIBUTION WIDTH(PDW) 19.58 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 13.5 fL 6.5-12.0
PLATELET COUNT 154 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 35.2 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.26 % 0.19 - 0.39
ERYTHROCYTE SEDIMENTATION RATE (ESR) 1 mm / hr Male : 0-15 Female : 0-20
: Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with ovalocytes. WBCs:
TOTAL LEUCOCYTES COUNT 5.4 X 10³ / μL 4.4 - 11.0
NEUTROPHILS 75 % 40-80
LYMPHOCYTE PERCENTAGE 20 % M:20-40; F:20-40
MONOCYTES 1.7 % 0-10
EOSINOPHILS 3 % 0-6
BASOPHILS 0.1 % 0-1
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.2 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 4.05 X 10³ / μL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 1.08 X 10³ / μL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.09 X 10³ / μL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.0054 X 10³ / μL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.16 X 10³ / μL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.01 X 10³ / μL 0.03
TOTAL RBC 5.58 X 10^6/μL Male : 4.3-5.9 Female : 3.5-5.0
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL Nil in adults
HEMOGLOBIN 15.8 g/dL Male : 13.3-17.7 Female : 11.7-15.7
HEMATOCRIT(PCV) 54.9 % Male : 39.8-52.2 Female : 34.9-46.9
MEAN CORPUSCULAR VOLUME(MCV) 98.4 fL 76-100
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 28.3 pq 27.0-33.0
MEAN CORP.HEMO.CONC(MCHC) 28.8 g/dL 33.4-37.0
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 56.2 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.6 % 11.5-14.5
PLATELET DISTRIBUTION WIDTH(PDW) 19.58 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 13.5 fL 6.5-12.0
PLATELET COUNT 154 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 35.2 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.26 % 0.19 - 0.39
ERYTHROCYTE SEDIMENTATION RATE (ESR) 1 mm / hr Male : 0-15 Female : 0-20
: Alert!!! RBCs:Mild anisopoikilocytosis. Predominantly normocytic normochromic with ovalocytes. WBCs:
Wed, 31 Jul 2013
Hello and welcome to HCM,
The results of the complete hemogram suggests an abnormality of red blood cells (RBCs) only.
Rest of the parameters are within normal limits.
The RBCs are showing anisopoikilocytosis with ovalocytes.
Anisopoikilocytosis is the term used when the RBCs are of variable sizes and shapes.
Variation is size and shape of RBCs are seen in anemias.
Presence of ovalocytes is suggestive of macrocytosis.
Macrocytosis is a condition when RBCs become oval shaped.
Deficiency of vitamin B 12 and folic acid are the most common causes of ovalocytes in blood.
Further tests should be taken to confirm vitamin B 12 and folic acid deficiency.
Vitamin B 12 levels and folic acid levels should be determined.
The deficiency is corrected by supplements of vitamin B 12 and folic.
Consult your hematologist for further work up.
Thanks and take care
Dr Shailja P Wahal
The results of the complete hemogram suggests an abnormality of red blood cells (RBCs) only.
Rest of the parameters are within normal limits.
The RBCs are showing anisopoikilocytosis with ovalocytes.
Anisopoikilocytosis is the term used when the RBCs are of variable sizes and shapes.
Variation is size and shape of RBCs are seen in anemias.
Presence of ovalocytes is suggestive of macrocytosis.
Macrocytosis is a condition when RBCs become oval shaped.
Deficiency of vitamin B 12 and folic acid are the most common causes of ovalocytes in blood.
Further tests should be taken to confirm vitamin B 12 and folic acid deficiency.
Vitamin B 12 levels and folic acid levels should be determined.
The deficiency is corrected by supplements of vitamin B 12 and folic.
Consult your hematologist for further work up.
Thanks and take care
Dr Shailja P Wahal
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