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Low Blood Cell, High Hemoglobin, Hematocrit and RDW
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Low Blood Cell, High Hemoglobin, Hematocrit and RDW

Hi, my husband works at an Ethylene unit and has had 3 blood test done and all have come back not so good.  He is being referred to a hemotologist, but in the mean time, can you give us any clues to why these results would be so high?  His Red blood cell count is 3.95 L, His Hemoglobin is 11.1 L, His Hematocrit is 32.8 L and his RDW is 15.9.  These were all out of a normal range.  
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Hello,

The causes of low blood cell are: Myelosuppression - a decrease in the production of blood cells, which may lead to low blood count, Pancytopenia - a lowering of all three types of blood cells; red blood cells(anemia), platelets(thrombocytopenia), and white blood cells(leucopenia) or any of them individually.

Causes of raised Hb are: Emphysema, severe asthma, and other forms of long-standing respiratory distress, Macrocytosis (deficiency of B6, B12, folic acid, or hypothyroid), Polycythemia vera and splenic dysfunction.

An elevated hematocrit may be due to spleen hyperfunction.Raised RDW is seen in any type of anemia (iron deficiency,vit B12 deficiency,folic acid deficiency),haemolytic or sideroblastic anemia.

Since your husband is working in an ethylene unit,so chances of ethylene causing these cannot be ruled out. Ethylene is known to cause damage to blood cells. It is also carcinogenic. Ethylene glycol and its effects can be measured in blood and urine. The metabolites cause characteristic chemical changes in the blood and urine that help to diagnose ethylene glycol poisoning.

Pls consult a haematologist for a confirmatory diagnosis as treatment depends on the same.

Take care and do keep us posted on how you are doing.

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