Thread: Iron deficiency
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Old Wed Jul 20, 2016, 05:15 AM
Naive Naive is offline
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Join Date: Jul 2016
Location: Gold Coast, Queensland, Australia
Posts: 77
Iron deficiency

Hi, I have an iron deficiency. I've required a couple of blood transfusions in the last couple of months. Lowest Hb was 54.

I just received a copy of my blood test taken before my first transfusion. The doctor didn't discuss these results with me and I didn't look at them until I got home.

I have some concerns. The results say

Pancytopaenia.

Leucoerythroblastic blood picture with rare myelocyte and nucleated RBC seen.

Red cell morphology shows anistocytosis, hypo chromic and micro cystic cells and stomatocytes.

Eosinophils show dysplastic changes.

WCC 1.9 L
Hb 54 L
Plat 130 L
HCT 0.2 L
RCC 2.96 L
MCV 69.1 L
MCH 19.8 L
MCHC 286 L
RDW 18.7 H
Neuts 0.9 L
Lymph 0.6 L
Mono 0.25 N
Eos 0.5 N
Baso 0.01 N
Reticent 55 N
Retic% 1.9 N

The recommendation was to correlate symptoms with the blood results and consider a bone marrow biopsy.

I feel fine since I've had my last transfusion but the only counts that have improved are my Hb and RCC.

After Dr Google my main questions are....are stomatocytes indicative of anything nasty and the dysplastic eosinophils...I don't like the sound of that even though the count is normal.

Any suggestions for questions to ask the haematologist would be appreciated.

As an incidental finding I also have a chromosome deletion (small) that is related to Autism.
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