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Old Fri Apr 11, 2014, 10:06 AM
shadoseer shadoseer is offline
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Join Date: Apr 2014
Location: New Port Richey, FL
Posts: 1
Lightbulb Lost figuring out labs

Hello All,

I will get directly to the point and hope someone can make sense of this mess!

In Early March I was dx with type 2 diabetes. Along with all of this testing it was learned my retic count was about 120k at which point I was referred to a hematologist/onco.

Further testing mid March looked like this:

WBC 8.6
ANC 5.8
RBC 2.9
Hgb 7.1
HCT 25.1
RDW 21.8
Iron 18
TIBC 393
UIBC 375
EPO 501
Ferritin 4
Iron Sat % 4.6
Serum Kappa 28.77
Kappa/Lambda 2.39

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

10 days later

WBC 11.3
ANC 6.9
RBC 3.25
Hgb 7.5
Hct 26.8
RDW 21.7
Lymph# 3.5
Mono# 0.8
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1 week later

WBC 10.2
ANC 7,1
RBC 3.7
Hgb 9.1
Hct 32.4
RDW 24.5

This last set was after a 1 gram Iron infusion.
I do not have celiac and occult blood in stool was negative.
Folate, B12, Calcium are all good.

I am feeling a little better meaning I can breathe now and think (for a while my thinking was very jumbled)

I am trying to get a handle on the retic count, why my ANC and RDW keep going up? Does it look like my immune system is not happy with Iron? I have lost 30 lbs in less than 1 month. I have a long history of anemia but never like this. My concern is what is causing the anemia as the 2 front runners (above) have been ruled out. I have since had another gram of Iron but no labs since then.

Any thoughts would be very much appreciated!

~shado
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  #2  
Old Sat Apr 12, 2014, 10:40 AM
Marlene Marlene is offline
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Join Date: Oct 2006
Location: Springfield, VA
Posts: 1,344
Has your doctor given you any type of diagnosis or hint to what s/he's looking for at this point.

Regarding the high retic and RWD, that appears to be a normal response to your anemia.

Not sure about the ANC unless you are fighting an infection.
__________________
Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of January 2017, FE is 233, HGB 11.7, WBC 5.1/ANC 4.0, Plts 146K.
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