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What Does "RBCs Sparsely Distributed Showing Mild Degree Of Microcytosis" Mean?

Posted on Wed, 28 May 2014

Question: RBCs are sparsely distribyted showing mild degree of microcytosis, hypochromia with anisopoikilocytosis. Few target cells & tear drop cells are also seen.

WBCs are within normal limits. Total leucocyte count is 10,400/cumm.
Differential Leucocyte is Polymorphs - 34%, Lymphocytes - 58%, Eosinophils - 03%, Monocytes 05%.

Platetets are within normal limits (3.85 Lacs/cumm)

Smear is Negative for Malarial and filarial parasite.

No immature cell is seen.

Answered by Dr. Indu Kumar (41 minutes later)

Brief Answer:
colitis & mild anemia are more likely

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

Findings are typical of mild iron deficiency anemia.
It causes small light colored RBCs(hypochromia)along with variation in size of RBCs (anisopoikilocytosis),small shaped cells(microcytosis) with low hemoglobin level.
Target cells & tear drop cells are also finding of anemia.So,it is important to know hemoglobin level.
You shouldn't worry,it is a treatable condition.He need iron supplementation.

Proteinuria(Albumin in urine) is a common laboratory finding in children.It can be due to benign condition or a serious disease,so he should be thoroughly evaluated.He need further investigations.Ultrasound of abdomen should be done along with other investigations.

Pus cells in stool is due to E.histolytica infection in intestine(colitis). Intestinal infection need to be treated with medicines like metronidazole.

Nitrogen in urine is a normal finding.

It is good that WBC and platelets are within normal limit.
Blood is also negative for malaria and filaria.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Indu Kumar (57 minutes later)

Dear Sir,

My doctor say me, that blood report indicate that is 1% chance of thalassemia ,
I am too much worry about this, Can u explain it. No history of thalassemia in Me & my wife both's family background.

What is the effect of Proteinuria (Albumin in urine) .

what we do for further treatment.

thanks/regard
XXXXXXX

Answered by Dr. Indu Kumar (19 hours later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX
Thanks for writing back

Thalassemia can mimic iron deficiency anemia.Since family history is negative,it is unlikely.However if there is doubt,further investigations like hemoglobin electrophoresis can be done.

Proteinuria(protein in urine) need further investigations.It may be transient or persistent.Transient proteinuria can occur due to simple reasons like fever,exercise,stress or cold exposure.
Persistent proteinuria need investigation like first morning urine test for protein/creatinine ratio.
Ultrasound of abdomen should also be done.

Treatment depend upon findings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (2 days later)

Dear Sir

I attached my son's latest Stool & Urine Test Report
Pls explain current health status of my son.

Thanks/regard
XXXXXXX

Answered by Dr. Indu Kumar (18 hours later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX
Thanks for writing back

Latest urine and stool reports shows infection.
Urine tract infection(UTI)is indicated by hazy colour of urine and presence of pus cell,bacteria,albumin in urine.Your son need culture and sensitivity of urine and stool so that proper antibiotics can be prescribed.
Mild protein in urine (proteinuria) is most likely related to UTI.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar