Fawad, did you get the new CBC yet?
And also I forgot to mention that before getting tested I was actually on biotin 5000mcg tablet for my hairfall issues. But I stopped biotin tabs for like 2 weeks to get tested. Now I'm not sure if biotin is here to blame for anything.
Do I have microcytic polycythemia? Am I going to die? Is it harmful? Is it incurable? :(
No relatives with thalassemia. Otherwise I'm perfectly fine. Just worried about the last report.
Then again I got tested in oct 2018
ERYTHROCYTES
Red Cells 4.07 mil/cumm.... normal 4.2 - 5.2 mil/cumm
Haemoglobin 13.5 G/dl...... Normal 14.0 - 18.0 G/dl
E.S.R 10 m.m/1st Hr..... Normal 0-9 m.m/1st hour
ABSOLUTE VALUES
H.C.T 36.4% ...... Normal 35-50%
M.C.V 86.4 Fl ..... Normal 80- 97 Fl
M.C.H 33.2 Pg .... Normal 26.5-33.5 Pg
M.C.H.C 37.1 G/dl ..... Normal 31.5 - 35 G/dl
LEUCOCYTES
Total Count 8700 /cumm .... Normal 4000-9000/Cumm
DIFFERENTIAL COUNT
Neutrophils 55% ... Normal 40-75 %
Lymphocytes 45 % .... Normal 20-45%
Eosinophils 02% .... Normal 01-06%
Monocytes 01% .... Normal 02-10%
Platelets 170,000/Cumm .... Normal 130,000 to 450,000
Result: Normal, RBCs show normocytic and normochromic
My report in August 2018
ERYTHROCYTES
Red Cells 4.13 mil/cumm.... normal 4.2 - 5.2 mil/cumm
Haemoglobin 11.0 G/dl...... Normal 14.0 - 18.0 G/dl
E.S.R 18 m.m/1st Hr..... Normal 0-9 m.m/1st hour
ABSOLUTE VALUES
H.C.T 36.9% ...... Normal 35-50%
M.C.V 86.4 Fl ..... Normal 80- 97 Fl
M.C.H 28.7 Pg .... Normal 26.5-33.5 Pg
M.C.H.C 31.0 G/dl ..... Normal 31.5 - 35 G/dl
LEUCOCYTES
Total Count 8100 /cumm .... Normal 4000-9000/Cumm
DIFFERENTIAL COUNT
Neutrophils 73% ... Normal 40-75 %
Lymphocytes 24 % .... Normal 20-45%
Eosinophils 02% .... Normal 01-06%
Monocytes 01% .... Normal 02-10%
Platelets 170,000/Cumm .... Normal 130,000 to 450,000
"Microcytic erythrocytosis is an underrecognized and **underevaluated** complete blood count (CBC) finding."
The Results of Hemoglobin Variant Analysis in Patients Revealing Microcytic Erythrocytosis on Complete Blood Count
https://academic.oup.com/labmed/article/49/2/147/4807291
2018
(A synonym is 'microcytic polycythemia'.)
Hi, Fawad. Here's what I think we should do:
(1) You call the doc's office and ask strongly for another CBC. If the numbers come back normal, then you can relax for now.
(2) If the numbers are similar or worse than in November, we can think about microcytic erythrocytosis. Your RBC count is kind of high then, but your MCV (RBC size) is pretty low - so you have lots of small RBCs which makes your Hematocrit (HCT) percentage normal. .
Did you have recurring anemia in childhood? Any relatives with thalassemia?
Do you think you might be iron deficient?
Have you had low MCV on a CBC test before November?