Dr. Goswami Parth Rajendragiri
Pathology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am concerned about my blood work results as my WBC is 3600 /µL, RBC 3.34 million cells/mcL, hemoglobin count is 10.4 gm/dL, hematocrit count is 30.4 L/L, the platelet count is 71××103/µL, and absolute monocytes are 187 /µL. The other indicators are all within range, but I also have calcium 10.2 mg/dL and uric acid 7.1 mg/dL. My doctor currently prescribed vitamin B12 and iron supplements, but my vitamin B12 level is 329 pg/mL, and iron is 62 mcg/dL with ferritin 26 ng/mL. Are these levels low enough to cause such symptoms, and is this an appropriate treatment? I am worried it is something more serious. Would you please give me your suggestions on this?
Thank you.
Hello,
Welcome to icliniq.com.
Thanks for writing in, and I understand your concern. In my opinion, it is iron deficiency anemia. However, further workup is needed in peripheral blood smear examination reports like total iron-binding capacity (TIBC), iron saturation, blood indices like mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). The peripheral smear examination report did from capillary finger-prick blood, will suggest more about red blood cell morphology. Your ferritin is also low, which suggests iron deficiency anemia.
Kindly attach the above-mentioned reports to discuss this further.
Regards
Patient's Query
Hello doctor,
Thank you for your response.
I have attached the report with other details such as MCV, MCH, MCHC. Please let me know if this aligns with iron deficiency anemia.
Regards.
Hello,
Welcome back to icliniq.com.
In the attached reports (attachments removed to protect the patient's identity) antinuclear antibodies (ANA) are positive. ANA is usually positive in the autoimmune condition in which the body produces antibodies against our own cells. Hemoglobin and red blood cell (RBC) could be low due to autoimmune hemolytic anemia-like conditions. Secondly, iron deficiency can be possible too. I advise you to get a complete autoimmune condition profile and get your physical examination done by a hematologist. Meanwhile, you can continue the medicine for iron deficiency anemia. I suggest you consult a nearby hematologist for your physical examination and accordingly plan further management.
Regards.
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Pathology
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