What this Haematology report says ?

Female 19yrs  70kgs

WBC - 12,000 cells/cumm
HGB - 10.8 gm/dl
HCT - 33.7
MCV - 75
MCH - 24
MCHC - 32
RDW_cv - 12.4

MPV - 10.6 cells/cumm
PCT- 0.29%
ESR - 85 mm/1hr

AE C - 880

[mkh9]

Hi it would help to have the ranges for that particular lab as they vary somewhat. The high WBC count isn't that high but may be a sign of infection. The low hemoglobin is concerning though. Have you had a Iron level and percent saturation , and ferritin? Are you bleeding any where? The ESR is a non specific test for inflammation and it looks high to me without reviewing the  reference ranges. I'm not sure what AE and PCT are  short for perhaps the PCT is the platelet count? Are you vegetarian? If so you may also be low in vitamin B12. Are you experiencing any symptoms? If the PCT is the platelet count it would be high. The MCV is mean corpuscular volume and is low and a sign of microcytic anemia. But overall you may have an anemia and perhaps something else going on since the white blood cell count is slightly high. It depends on your symptoms how significant a high platelet count is here. The RDW is a sign of variation in red cell types but yours is normal. Usually, they do a manual count when the CBC is abnormal, did they do that too? You need to see a hematology specialist if possible if not a doctor.
Hope this helps.
mkh9

[mkh9]

Hi it would help to have the ranges for that particular lab as they vary somewhat. The high WBC count isn't that high but may be a sign of infection. The low hemoglobin is concerning though. Have you had a Iron level and percent saturation , and ferritin? Are you bleeding any where? The ESR is a non specific test for inflammation and it looks high to me without reviewing the  reference ranges. I'm not sure what AE and PCT are  short for perhaps the PCT is the platelet count? Are you vegetarian? If so you may also be low in vitamin B12. Are you experiencing any symptoms? If the PCT is the platelet count it would be high. The MCV is mean corpuscular volume and is low and a sign of microcytic anemia. But overall you may have an anemia and perhaps something else going on since the white blood cell count is slightly high. It depends on your symptoms how significant a high platelet count is here. The RDW is a sign of variation in red cell types but yours is normal. Usually, they do a manual count when the CBC is abnormal, did they do that too? You need to see a hematology specialist if possible if not a doctor.
Hope this helps.
mkh9

[Gango3]

Thanks a lot.
Yeah , PCT is under the section of Platelets. I'm experience hell lot of symptoms. I do mot know how they counted RDW. I'll try to take TIBC and ferritin test.
I think AE  = acral erythema .

[mkh9]

You are welcome. Because the high platelet count, you could have also polycythemia which to me doesn't make sense to have a low hemoglobin so it may not be that. It is too much blood volume. A more concerning problem with a high platelet count and especially with symptoms, is  a potential myeloproliferative disorder which could be more serious. I hope it is "just" anemia but the high platelet count with symptoms needs definitely to be looked into. But at this stage your white blood count doesn't seem high enough for that. But I hope they have hematologists there as you really need to see one. They need to do a manual cell count and look at the cells to see what is going on and if the cells look abnormal.
let me know if you have any more questions. I'll think positive thoughts for you.
mkh9

[Gango3]

Thank you very much for the time you are spending for me.

I can say for sure it is not polycythemia or potential myeloproliferative disorder.I did not add some of the information in above hematology report. Following four sentences are under the section Peripheral Blood Smear:
1. Normocytic and Hypochromic RBC are seen
2. Leukocytes are increased in number.
3. Platelets are adequate
4. No immature Red cells are seen

I faced malnutrition from 6 years.Doctor noticed Calcium and Iron deficient in me and I started taking Calcium, B-complex and energy boosters from 5 months. My symptoms are weakness all over the body mainly burning and pain of bones. My spinal cord is so weak I can't seat for a long time without back support. I sometimes feel numbness in hands and legs and fall while walking. Even after medication from 5 months I did show much good results and almost just like before. So he wanted a blood report and I'll meet him after 10 days.

I agree with you that I have microcytic anemia.
Thank you for naming the tests TIBC and ferritin , I'll get that report in 7 days and I'll post immediately.

You don't know how much you helped me. I don't have anybody to think about me. I strongly believe God sent answer to me through you. God be with you.
  

[mkh9]

Oh I'm glad that you don't have either polycythemia or myeloproliferative disorder. I didn't want to scare you but had to say something about it. I'm very glad to help you. It makes me feel good that I am there for you. I would add to your iron studies the total iron and percent saturation (it can be calculated from the TIBC and total iron). If they do a full iron panel on you that would be good. Can you get the B12 done as well to check? A lot of times the B12 isnt' part of the B complex panel but it may be different there. I'm so sorry for all that you have been through. I hope your situation is a lot better now. As you probably know, when you have severe anemia you will be extremely tired and I would assume have aching bones. I had iron deficiency anemia as well but 2nd stage not 3rd like you have (that is when your hemoglobin drops). It does take time to get your energy and bone marrow to have enough iron when you are depleted.  For me I couldn't walk up a hill without breathing very hard and before that I could hardly get out of bed. Please do continue your meds and keep getting the CBC and iron studies repeated as they can change and once you are normalized then you still have have to take some iron, but maybe not as much. I was on two iron pills a day and now after years just 1 two days on and 1 off. Please keep me informed. I'll add you as a friend and you can write a note to me or message if you like, in case I somehow delete this in the future. But, I'll keep it open for  a while.
take care,
mkh9

[mkh9]

Hi again,
I wanted to mention if I didn't that you might have a slight infection too since your WBC count is slightly high. Do you have  a fever or any infection. It sound go away on its own but if it doesn't you should ask about that too.
take care,
mkh9

[Gango3]

Hi

Total iron Binding Capacity&Ferritin, Serum Results :

Iron - 52 ug/dl
Total Iron Binding Capacity - 437 ug/dl
% Saturation - 12%
Ferritin - 30 ng/ml

Above are my latest reports and about high WBC counts I'm like sensitive to everything and get frequent fever.

[mkh9]

Hi and glad to hear from you. Hope you are doing ok. I need to get my hematology book and will get back to tonight my time (US).  I can't lift the book as I have a back injury so I have to wait for my husband to get home to get it for me. But overall the percent saturation is a bit low. the other values don't seem to be to far off. Apparently, since your WBC is high infection can coexist with iron deficiency. But since you have hypochromic RBC's I still think you have a hyochromic/microcytic anemia.  Are you still taking Iron pills or some type of iron? But I am still worried that you have an infection. Do you have any open sores or see any kind of infection? Obvioulsy, if you have a fever plue the high WBC you need to find the source of infection. It can make your iron levels change some also. How high are your fevers? What do you mean by sensitive to everything. Are you sensitive to drugs or do you have pain and are sensitive to touch or what is exactlly going on?

mkh9

[mkh9]

After reviewing your results I still have the same comments:
microcytic/hypochromic anemia. THe iron itself isn't too low but the % saturation of the red cells is low. So, you don't have enough iron that stays in the red cells. I also still think there is an infection going on. Do you have any bleeding anywhere? You will have to monitor all of these same results and retake them every 3-6 months. You want to get back to normal don't want iron overload either. Iron is hard to get rid of when you get too much. You are borderline low at this last test you gave me. But if your cells are hypochromic microcytic then you still are not at the right level. Ok. talk to you next time
take care,
mkh9

[Gango3]

I'm not bleeding and I don't have any wounds, injuries or infections but I'm senitive to climate so I'll catch fever immediately when the temperature goes down, or I take bath (temperature will change when I'm soaked in water, isn't it?). I always have to drink hot water if not I'll get throat infection and cold consecutively.I never came out of house at nights without winterware on even in summers. You are asking me whether I'm bleeding but I not even getting periods from about 6 months.

Thanks for your suggestions.
Gango3

[mkh9]

I just asked about the bleeding because of your low hemoglobin. I assume you must be immunocompromised so you are getting sick often. You can get your immunoglobulin level checked to see if that is normal or not. But, your lab results (high white count) and fevers are indicating infection. I'm not aware that anemias can cause the high WBC and fever. There could be some other underlying factor I'm not aware of. Keep me posted as to how your progress is ok?.
take care,
mkh9

[Gango3]

Hi How are you ? Is your back injury okay now ?

Yeah, I'm going to meet doctor on 24th Dec and show him my reports and take his opinion too.
Is microcytic/hypochromic anemia a curable disease?

Thanks
Gango3