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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do High Iron Levels Indicate Hypochromia?

Hi! I just got a blood test back and it says (again) that I have hypochromia, but that my iron levels are relatively high (135). I don't understand how this can be, since what my doctor told me that the hypochromia was caused by low iron levels. Any ideas?
Fri, 30 Jan 2015
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Pathologist and Microbiologist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Yes, hypochromia is caused by low iron levels.
2. The hypochromia at present could be due to early iron deficiency. Also it can be seen in chronic diseases or thalassemia.
3. Need to know, whether it is microcytic hypochromic or normocytic hypochromic. Also hemoglobin levels, red cell distribution width and reticulocyte count necessary.
4. If reticulocycte count is high, thalassemia requires evalaution. If it is low, and after 15 days of iron therapy, if it improves to 3-4%, it is iron deficiency and correction is necessary.
Hope it helps.
Any further queries, happy to help again
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Do High Iron Levels Indicate Hypochromia?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Yes, hypochromia is caused by low iron levels. 2. The hypochromia at present could be due to early iron deficiency. Also it can be seen in chronic diseases or thalassemia. 3. Need to know, whether it is microcytic hypochromic or normocytic hypochromic. Also hemoglobin levels, red cell distribution width and reticulocyte count necessary. 4. If reticulocycte count is high, thalassemia requires evalaution. If it is low, and after 15 days of iron therapy, if it improves to 3-4%, it is iron deficiency and correction is necessary. Hope it helps. Any further queries, happy to help again