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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Peripheral Smear Test Shows RBC With Mild To Moderate Degree Of Anisopoikilocytosis , WBC With Mild Increase In Lymphocytes. Serious?

Hi Doctor, My blood count is 7.3 and the Peripheral Smear examination report says - RBCs : Show a mild to moderate degree of anisopoikilocytosis. The cells are normocytic hypochromic in nature. Many target cells, few microcytes, ocassional thin elongated cells are seen. W.B.Cs: Normal in number with a mild increase in lymphocytes. Not sure what kind of anemia is this and how serious is the same
Sat, 29 Dec 2012
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General & Family Physician,  's  Response
Hello, Welcome to HCM, I am Dr. Das.

Firstly, you should ask a question with all the parameters like MCV, MCH, MCHC, PCV. because, they are important.

From this report, it can be said that there is high chance of iron deficiency anemia. There may also be a chance of abnormal hemoglobin variant.

So, firstly, you have to do a HPLC test and then a bone marrow aspiration should be considered depending on the HPLC finding.
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General & Family Physician,  Dr. Mamun Kabir's  Response
thank you.you not mention the MCV.is there any family history of blood disease.may be you are a case of iron deficiency or some kind of hemoglobinopathies. so you have to investigate iron profile and hb electrophoresis. you may also consult a hematologist.
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Peripheral Smear Test Shows RBC With Mild To Moderate Degree Of Anisopoikilocytosis , WBC With Mild Increase In Lymphocytes. Serious?

Hello, Welcome to HCM, I am Dr. Das. Firstly, you should ask a question with all the parameters like MCV, MCH, MCHC, PCV. because, they are important. From this report, it can be said that there is high chance of iron deficiency anemia. There may also be a chance of abnormal hemoglobin variant. So, firstly, you have to do a HPLC test and then a bone marrow aspiration should be considered depending on the HPLC finding.