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Hep C Discussion Forum -> On Treatment -> RBC Cell Shape
Post Info TOPIC: RBC Cell Shape
longld


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RE: RBC Cell Shape
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thanks, very helpful!



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62 Yrs Old, CHC Geno 3, Cirrhosis, Kidney Transplant (13 yrs), On Sovaldi/Riba Treatment (24 week) since Feb 01,2014

Viral Load 7M on 1/8/2014,  UND at EOT 7/18/2014
mallani


Guru

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Hi Lee,

Good old Ribavirin has been at work. It accumulates in red blood cells, causing haemolysis. This causes the bone marrow to pump out more red cells. Some of these are immature, and enlarged (macrocytes). The mixture in sizes is called anisocytosis. Teardrop red cells just have a pointed end and may be found in many of the anaemias. Acanthocytes have blunt projections from the surface and look weird. They can be found in many anaemias, and are common in chronic liver disease. Your Hb is OK at 9.5, and the platelets are low, as expected in cirrhosis.

With the transfusions and Procrit, your bone marrow must be going nuts. Carry on, buddy.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
longld


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Oh Gurus's, just got my latest labs, RBC results have multiple notes attached that shows the RBC's are diff in shape and size, any ideas on why this suddenly shows up?  Anybody notice same on their labs?  I have been fighting Anemia but lately hgb has been around 10.

cheers, lee

WBC 3.4 

 RBC 3.02 

      Few tear drops.

      Macrocytes present.

      Anisocytosis present.

      Acanthocytes present.

 Hemoglobin 9.5 

 Hematocrit 30.3 

 MCV 100 High 

 MCH 31.5 

 MCHC 31.4 

 RDW 15.9 

 Platelets 76 Alert



__________________

62 Yrs Old, CHC Geno 3, Cirrhosis, Kidney Transplant (13 yrs), On Sovaldi/Riba Treatment (24 week) since Feb 01,2014

Viral Load 7M on 1/8/2014,  UND at EOT 7/18/2014
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Hep C Discussion Forum -> On Treatment -> RBC Cell Shape
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