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The Mentzer index, described in 1973 by William C. Mentzer, [1] is the MCV divided by the RBC count. It is said to be helpful in differentiating iron deficiency anemia from beta thalassemia trait. [2] [3] The index is calculated from the results of a complete blood count.
Normally, MCV is expressed in femtoliters (fL, or 10 −15 L), and [RBC] in millions per microliter (10 6 / μL). The normal range for MCV is 80–100 fL. The normal range for MCV is 80–100 fL. If the hematocrit is expressed as a percentage, the red blood cell concentration as millions per microliter, and the MCV in femtoliters, the formula ...
A moderate degree of iron-deficiency anemia affects approximately 610 million people worldwide or 8.8% of the population. [75] It is slightly more common in females (9.9%) than males (7.8%). [75] Up to 15% of children ages 1–3 years have iron deficiency anemia. [48] Mild iron deficiency anemia affects another 375 million. [75]
Deficiencies of Vitamin B 12 or folate produce a macrocytic anemia (large cell anemia) in which the RDW is elevated in roughly two-thirds of all cases. However, a varied size distribution of red blood cells is a hallmark of iron deficiency anemia, and as such shows an increased RDW in virtually all cases.
In iron deficiency anemia the cell mass becomes lighter, thus a MCH below 27 pg is an indication of iron deficiency. The MCH decreases when Hb synthesis is reduced, or when RBCs are smaller than normal, such as in cases of iron-deficiency anemia. [1] Conversion to SI-units: 1 pg of hemoglobin = 0.06207 femtomole (fmol). [5] Normal value ...
MCHC can be normal even when hemoglobin production is decreased (such as in iron deficiency) due to a calculation artifact. MCHC can be elevated ("hyperchromic") in hereditary spherocytosis , sickle cell disease and homozygous hemoglobin C disease , depending upon the hemocytometer.
Nearly half of all anemia cases are due to iron deficiency as it is the most common nutritional disorder. [4] Although it is a common nutritional disorder, most causes of iron-deficiency anemia (IDA) are due to blood loss. [4] It occurs most commonly among children and females who are menstruating but can happen to any individual of any age. [3]
a B2 deficiency [3] a B6 deficiency [3] or a mixture of conditions producing microcytic and macrocytic anemia. [1] Blood loss, suppressed production of RBCs or hemolysis represent most cases of normocytic anemia. In blood loss, morphologic findings are generally unremarkable, except after 12 to 24 hrs where polychromasia appears.