What causes elliptocytes and ovalocytes in blood smear?
Patient's Query
Hello doctor,
This is for my mother, whom I have been concerned about. Would her reports seem acceptable for a smear slide examination? Anisocytosis 1+, elliptocytes present, and ovalocytes present. She developed memory and confusion issues within a month and has a heart valve issue with an ECG that was recorded at 36 bpm at one time.
Kindly help.
Hello,
Welcome to icliniq.com.
Anisocytosis, elliptocytes can all be seen in an anemia case. In iron deficiency anemia, also, it can be seen. So, you should check her hemoglobin level and HCT level. Do not worry about that. With the treatment of anemia, usually, it disappears.
I hope this helps.
Patient's Query
Thank you doctor,
Her results were:
WBC Count 5.6 10*3/uL 4.8 - 10.8 10*3/uL, RBC Count 4.45 10*6/uL 4.20 - 5.40 10*6/uL, HGB 14.4 g/dL 12.0 - 16.0 g/dL, HCT 41.7 % 37.0 - 47.0 %, MCV 93.8 fL 81.0 - 99.0 fL, MCH 32.5 pg 27.0 - 34.0 pg, MCHC 34.6 gm/dL 31.5 - 36.0 gm/dL, RDW 14.0 % 11.5 - 14.5 %, PLT 289 10*3 130 - 400 10*3, MPV 7.6 fL 7.4 - 10.4 fL, Neutrophils % 81.2 % %, Lymphocytes % 10.9 %, Monocytes % 7.0 %, Eosinophil % 0.3 %, Basophils % 0.6 %, Neutrophils Absolute 4.6 10*3/uL 1.8 - 8.0 10*3/uL, Lymphocytes Absolute 0.6 10*3/uL 1.0 - 4.0 10*3/uL, Monocytes Absolute 0.4 10*3/uL 0.0 - 1.0 10*3/uL, Eosinophils Absolute 0.0 10*3/uL 0.0 - 0.3 10*3/uL, Basophils Absolute 0.0 10*3/uL 0.0 - 0.1 10*3/uL.
Hi,
Welcome back to icliniq.com.
I read your mentioned report (attachment removed to protect patient identity). The hemoglobin level is within range. The hematocrit and red blood cells are also within range. So, your mother is not having anemia, especially iron-deficiency anemia. Hence, do not worry about anisocytosis, adipocytes, and ovalocytes.
These all findings need not be given importance because the CBC is normal, especially the Hb level. So do not worry about anisocytosis, adipocytes, and ovalocytes. These all reflect mild variation in size and shape of red blood cells.
Kindly help.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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