Reticulocyte Analysis in Iron Deficiency Anemia and Hemolytic Anemia
PUNNEE BUTTHEP, Ph.D.*, SUMALEE JINDADAMRONGWECH, M.Sc.*, SIRIWAN PATTAMAKOM, U.P.A.*, AHNOND BUNYARATVEJ, Ph.D.* RAEWADEE WISEDPANICHKU, M.Sc.*, PREYARAT KAEWKETHONG, B.Sc.*, MONNIPHA SILA-ASNA, M.Sc. *,
Affiliation : * Blood Disease Diagnostic Center, Sirikit Medical Center and Hematology Division, Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Reticulocyte analysis was studied in 28 anemic patients, 15 with iron deficiency anemia (IDA), and 13 with hemolytic anemia including 9 glucose 6 phosphate dehydrogenase deficiency (G6PD def.), and 4 with G6PD def. combined with HbE trait or a thalassemia trait (a thai trait). The reticulocyte analysis among these patients showed the increased number of reticulocyte percentage with low degree of maturation in both IDA and G6PD def. patients. The significantly decreased reticulocyte hemoglobin content (CHr) was found in IDA (CHr= 21.74 ± 4.61 pg in IDA vs 28.41 ± 1.34 pg in normal; p-value = < 0.0001), whereas, increased CHr was found in G6PD def. patients. In addition, the G6PD def. patients also showed a significant increase in mean corpuscular reticulocyte volume (MCVr) when compared to normal (MCVr = 132.0 ± 8.39 fl. in G6PD def. vs 110.39 ± 5.09 in normal; p - value = < 0.0001). However, a significant decrease in MCVr was found in IDA patients (MCVr = 95.89 ± 8.57 fl.; p-value = < 0.0001 vs normal). From this study, we can suggest that the reticulocyte hemoglobin content (CHr) and mean corpuscular reticulocyte volume (MCVr) are the important defects in patients with iron deficiency anemia.
Keywords : Reticulocyte Analysis, Iron Deficiency Anemia, G6PD Deficiency
