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Macrocytic Anemia


This patient with a history of alcohol abuse had anemia. Her RBC were macrocytic and slightly hypochromic; in addition, she had elevated liver enzymes and a normal serum ferritin concentration. The reticulocyte count was 84.4 x 109/L (2.9 %) and is shown as case “Reticulocytes Neonate”.

Numerical Results

WBC 6.61 10e3/μL
NEU 4.114 62.26 %
BLST 0.00 0.00 %
MONe .614 9.29 %
EOS .118 1.79 %
BASO .115 1.74 %
LYMe 1.651 24.97 %

RBC 2.89 10e6/μL
HGB 9.97 g/dL
HCT 31.8 %
MCH 34.5 pg
MCHC 31.4 g/dL
RDW 21.4 %

PLT 475. 10e3/μL
MPV 4.85 fL

CELL-DYN Ruby Casebook. Macrocytic Anemia. 2018. ADD-00005070. p.33
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