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What Kind Of Anemia Does Low Haptoglobin Level Indicate When Diagnosed With Bronciastasis And Atrial Fibrillation?

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Posted on Fri, 15 Nov 2019
Question: My dad has low RBC4.04 hgb 11.6 hct 36.7.
Normal plat LYMPH% 17.8Low
MCHC low 31.6. All else normal Peripheral blood Is No IMMUNOPHYNOTYPIC evidence of a hematolymphoid neoplasm.
Reticulotyte normal 1.27 relic count absolute 0.0499 Normal.
Coombs Direct Positive? Anti-iGg Positive anti-complement Negative.
Haptoglobin high 272 LDH 192 normal Uric Acid 3.7 Normal B12 958.9 High folic >20 high
Plat 274 normal

TSH 2.150 Normal
IGA High 467
IGG 2217 High
IGM 61 Normal
Metabolic Panel All normal except Creat 0.6 LOW
BUN Creat Ratio 32.0
Globulin 4.0 High 'A?G 1.0
IRON 39.0 Low
Ferritin TIBC UIBC Iron Sat Percent NORMAL
IFE Interpretation :U
An apparent normal immunofixation pattern.
My dad is 85 . Has Bronciastasis and AFib. On Calcium channel blockers and as arizthmycycon as needed
He's been having swelling of only ONE ankle and lower leg.
What type of anemia is this?.
doctor
Answered by Dr. Monish De (1 hour later)
Brief Answer:
Blood test for AFP

Detailed Answer:
Hi

I have gone through your dads blood reports.

Your dads serum haptoglobulin level is high

This indicates some liver disease such as liver cancer or infection, extreme stress, burns, major crush injury or allergy

Low haptoglobulin indicate haemolytic anemia.

I would advise your dad to do blood test for serum alphafetoprotein (AFP), Liver function tests and an MRI of the liver.

Regards

DR Monish De

Oncologist


Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Monish De (11 hours later)
But liver cancer I understand has HIGH red blood counts. He has LOW
doctor
Answered by Dr. Monish De (43 minutes later)
Brief Answer:
MRI of liver

Detailed Answer:
Hi.

Yes, but sometimes in liver cancer, red blood counts could be low too.

That is why MRI of liver and blood and blood test for serum AFP is needed to rule out liver malignancy.

Regards

DR Monish De

Oncologist


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Monish De (56 minutes later)
I'm confused why his hematologist did not include this test in all his blood work. Also his iron is very low but normal ferritin and tic with low mcvh a little low also.
doctor
Answered by Dr. Monish De (2 minutes later)
Brief Answer:
Microcytic anemia

Detailed Answer:
Hi,

Low iron with low mcvh is found in microcytic anemia which is iron deficiency anemia due to the low dietary iron intake.

I would advise him to take eggs, liver, fish, meat, pulses, and beans which are a rich dietary source of iron.

Regards

DR Monish De

Oncologist

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Kind Of Anemia Does Low Haptoglobin Level Indicate When Diagnosed With Bronciastasis And Atrial Fibrillation?

Brief Answer: Blood test for AFP Detailed Answer: Hi I have gone through your dads blood reports. Your dads serum haptoglobulin level is high This indicates some liver disease such as liver cancer or infection, extreme stress, burns, major crush injury or allergy Low haptoglobulin indicate haemolytic anemia. I would advise your dad to do blood test for serum alphafetoprotein (AFP), Liver function tests and an MRI of the liver. Regards DR Monish De Oncologist