conditions
Anemia — Macrocytic
Anemia — Macrocytic
Clinical Summary
Chronic anemia with macrocytic features (MCV 94–97 fL, slightly above normal range 82–92). Hemoglobin nadir of 6.8 g/dL on 2025-11-28, improving to 11.6 g/dL by 2026-04-06.
Key Features
- Type: Macrocytic (MCV elevated)
- RDW: Consistently elevated (17.1–18.1%), indicating anisocytosis
- Reticulocyte count: 1.6% (2025-11-19) — normal, suggesting underproduction rather than hemolysis/bleeding
- Peripheral smear: Normochromic normocytic to mildly macrocytic. Polychromasia present.
Longitudinal Hemoglobin Trend
| Date | Hb (g/dL) | RBC (M/cumm) | MCV (fL) | RDW (%) |
|---|---|---|---|---|
| 2025-11-19 | 8.3 | 2.68 | — | 17.3 |
| 2025-11-28 | 6.8 | 2.1 | 94.3 | 17.2 |
| 2026-04-06 | 11.6 | 3.61 | 97.2 | 18.1 |
Context
Part of the broader Pancytopenia picture. The anemia is likely related to the bone marrow infiltrative process identified on biopsy. The improving trend suggests response to treatment (details not yet in raw documents).
Updated automatically during ingest.