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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Are Levels Of ESR, Eosinophil, PCV, MCV And RDW On CBC Result Out Of Normal Range?

Just need to understand the outcome of my CBC results as done last week. I am a female - 43 years old. I am mentioning the ones whose values are deviating from the normal range. Hb- 10.4 Eosinophil- 20% ESR 1st hr- 89 mm PCV- 0.33L/L MCV- 77.2fL MCH- 24.5pg MCHC-31.7g/dl RDW-56.80 fl CRP-11.5mg/L
Wed, 9 Jul 2014
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Pathologist and Microbiologist 's  Response
Hi
Looking at your reports it appears that your Hemoglobin is low, and the red cell indices(MCV,MCH,MCHC) are also lowered. RDW is raised, all these are seen in anemia.
You have to get a peripheral smear examination to identify the type of anemia, discuss with your consulting doctor regarding the supplements to correct the deficiency.
Eosinophils are raised, which suggests a parasitic infestation probably hookworm infestation, as it causes blood loss and the resultant anemia.
Discuss with your doctor the options for deworming as that might improve your hemoglobin.
ESR and CRP are raised indicators of chronic inflammation. Their raise correlates with other findings.
Regards
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Why Are Levels Of ESR, Eosinophil, PCV, MCV And RDW On CBC Result Out Of Normal Range?

Hi Looking at your reports it appears that your Hemoglobin is low, and the red cell indices(MCV,MCH,MCHC) are also lowered. RDW is raised, all these are seen in anemia. You have to get a peripheral smear examination to identify the type of anemia, discuss with your consulting doctor regarding the supplements to correct the deficiency. Eosinophils are raised, which suggests a parasitic infestation probably hookworm infestation, as it causes blood loss and the resultant anemia. Discuss with your doctor the options for deworming as that might improve your hemoglobin. ESR and CRP are raised indicators of chronic inflammation. Their raise correlates with other findings. Regards