Page 280 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )

264 PART 4 ■ Erythrocyte Disorders

Red Blood Cell Characteristics in TABLE 14.4 Iron Studies
TABLE 14.3
Children and Adults

Fe Def Fe Def Fe Def With
Lowest Classic Iron Without With Mild Severe

Normal Fetal Studies Anemia Anemia Anemia

Hemoglobin Normal Hemoglobin

Age (g/dL) RBC MCV (%) Marrow iron + 0 0

stores
Birth 14.0 100–130 55–90
Serum iron level N/↓ N/↓ ↓

3–6 mo 10.5 75–90 5–25
Fe-binding N or↑ N or↑ ↑

1–4 y 11.0 70–85 <2 capacity

4 y to puberty 11.5 75–90 <2 Hemoglobin N Slight ↓ ↓

Adult (female) 12.0 80–95 <2 Microcytic N 2+ 4+

Adult (male) 14.0 80–95 <2 hypochromic

From Greer JP, et al. Wintrobe’s Clinical Hematology, 11th ed, Philadelphia, Ferritin ↓ ↓ ↓

PA: Lippincott Williams & Wilkins, Table 27.1 Red Blood Cell Characteristics Free RBC N or↑ ↓ ↓
in Childhood, 2004:948.
protoporphyrin

level (FEP)

). T m MCV,

MCH, MCHC. A m m

m m m , m m - Clinical Chem istry Studies

m , m m I ( . ) -

x m m m , m m . T

( . ; F . . ).

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: m m m . I

, k IDA .

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m

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m .

( S) m .

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. A µ /L

. F

- q

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m

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A B Small, pale RBCs m q m
m
FIGURE 14.4 T m . A. N m
m . B. B m m . T m .

m (m ) ( m ). (R A soluble transferrin receptor (sTfR). T m-

m M C H. T e Nature o Disease: Pathology or the Health m m -
Pro essions, P , PA: L W m & W k , , m m x -

m .) . A m R m