labs

Red Blood Cell Count

Red Blood Cell Count

Longitudinal Data

Date Value Flag Context/Notes Source
2026-06-06 3.82 N (borderline) KIMS — Sheath flow DC detection. Bill L042743426. Near-normal recovery +0.29 from June 1. Just 0.02 below lower limit (3.80-4.80). Hb 12.1 (N — RECOVERED), Hct 36.8% (N), MCV 96.3 (H — improved), MCH 31.7 (N), RDW 17.2 (H — improved). Dr. Bijay. Collected 10:50 AM. raw/labs/2026-06-07_Ishamma_T_M_1.pdf
2026-06-01 3.53 L KIMS — Sheath flow DC detection. Bill L041256126. Dropped −0.24 from May 27. Hb 11.3 (L — dropped), Hct 35.3% (L), MCV 100 (H — worsening macrocytosis), MCH 32 (N), RDW 18.3 (H). Dr. Bijay. Collected 11:11 AM. raw/labs/2026-06-01_Ishamma_T_M.pdf
2026-05-27 3.77 L KIMS — Sheath flow DC detection. Bill L040020926. Recovery +0.60 from May 17. Hb 12.0 (N — first normal), Hct 35.8%, MCV 95 (H), MCH 31.8 (N). Dr. Bijay. raw/labs/20260527_Ishamma T M 1 5-27-2.pdf
2026-05-23 3.76 L KIMS — Sheath flow DC detection. Bill L038904126. +0.59 from May 17. Hb 11.6 (L), Hct 35.6%, MCV 94.7 (H), MCH 30.9 (N). Dr. Bijay. raw/labs/20260527_Ishamma T M 5-27-1.pdf
2026-05-17 3.17 L KIMS — Sheath flow DC detection. Bill L037179526. SEVERE DROP −0.56 from May 11. Hb 9.9 (severe drop), Hct 30%, MCV 94.6 (H). Dr. Bijay. raw/labs/2026-05-17_Ishamma_T_M_1.pdf
2026-05-11 3.73 L KIMS — Sheath flow DC detection. Bill L035372426. Hb 11.8, Hct 36.1, MCV 96.8 (H). Slight decrease from May 4. Dr. Bijay. raw/labs/2026-05-11_Ishamma_T_M_A.pdf
2026-05-04 3.79 L KIMS — Sheath flow DC detection. Bill L033433126. Hb 11.9, Hct 36.3, MCV 95.8. Improving from Apr 27. raw/assets/2026-05-04_Ishamma_T_M.pdf
2026-04-27 3.66 L KIMS — Sheath flow DC detection. Bill L031606726. Hb 11.4, Hct 34.4, MCV 94. raw/labs/20260427_Ishamma T M 1 ok.pdf
2026-04-20 3.62 L KIMS — Sheath flow DC detection. Bill L029731026. 20260420_Ishamma T M today.pdf
2026-04-13 3.41 L KIMS Ishamma T M 1.pdf
2026-04-06 3.61 L KIMS Ishamma T M.pdf
2026-03-30 3.72 L KIMS Ishamma T M 2.pdf
2026-03-25 3.53 L KIMS Ishamma T M 1 2.pdf
2026-03-18 3.30 L KIMS Ishamma T M 1 3.pdf
2026-03-12 3.25 L KIMS Ishamma T M 1 4.pdf
2026-03-05 3.18 L KIMS Ishamma T M 3.pdf
2026-03-02 3.47 L KIMS — Cycle 3 start Ishamma T M 4.pdf
2026-02-25 3.44 L KIMS Ishamma T M 5.pdf
2026-02-23 3.37 L DDRC — rechecked on smear Report For Accession No 4170ZB001398.pdf
2026-02-17 3.41 L KIMS Ishamma 1.pdf
2026-02-10 3.31 L KIMS Ishamma T M 6.pdf
2026-02-04 2.88 L KIMS Ishamma T M 1 5.pdf
2026-01-31 2.72 L KIMS Ishamma T M 7.pdf
2026-01-28 3.17 L KIMS Ishamma T M 1 6.pdf
2026-01-25 2.85 L KIMS Ishamma T M 8.pdf
2026-01-22 3.14 L KIMS Ishamma T M 9.pdf
2026-01-19 3.66 L KIMS — Cycle 2 start Ishamma T M 1 7.pdf
2026-01-16 2.96 L KIMS Ishamma T M 10.pdf
2025-11-28 2.10 L KIMS - Nadir File1000384802.pdf
2025-11-19 2.68 L DDRC CCR_4182YK007572_296266q.pdf
2022-09-27 3.80 N DDRC SRL 4182VI0131054182_816476x.pdf

Trend Analysis

RBC count was at the lower limit of normal (3.80) in September 2022. With the onset of AML, RBC dropped sharply -- 2.68 at diagnosis (November 2025) and reaching a nadir of 2.10 million/cumm on 2025-11-28. Since treatment initiation, there has been a gradual recovery trajectory: 2.88 in early February 2026, improving to the 3.4-3.7 range by March-April 2026. RBC reached 3.79 million/cumm (May 4) — just 0.01 million/cumm below normal. RBC decreased slightly to 3.73 million/cumm (May 11, −0.06 from May 4).

May-June 2026 pattern:
- May 11: 3.73 (slight drop from 3.79 on May 4)
- May 17: 3.17 (−0.56 — severe drop, RBC nadir)
- May 23: 3.76 (+0.59 — strong recovery)
- May 27: 3.77 (+0.60 total from nadir — recovery continued)
- June 1: 3.53 (−0.24 — secondary drop)

[!success] RBC NEAR-NORMAL RECOVERY: 3.53 → 3.82 million/cumm (June 1 → June 6)
RBC has recovered to near-normal at 3.82 million/cumm (+0.29 from June 1), just 0.02 million/cumm below the lower limit of normal (3.80-4.80). This represents an 8% increase in 5 days and confirms robust erythroid recovery.

Recovery trajectory:
- May 17: 3.17 (nadir — severe)
- May 23: 3.76 (+0.59 — strong recovery)
- May 27: 3.77 (+0.60 — near-normal)
- June 1: 3.53 (−0.24 — transient drop)
- June 6: 3.82 (+0.29 — NEAR-NORMAL)

Concurrent improvements:
- Hemoglobin 12.1 g/dL (N) — normalized from 11.3 (June 1)
- Hematocrit 36.8% (N) — normalized from 35.3% (June 1)
- MCV 96.3 fL (H) — improved from 100 fL (June 1), macrocytosis decreased
- RDW 17.2% (H) — improved from 18.3% (June 1), anisocytosis decreased

Multi-lineage recovery confirmed: All three cell lines (platelets, erythroid, granulocytes) are recovering coordinately. RBC at 3.82 is essentially normal (only 0.5% below threshold). Erythroid lineage recovery lagged platelets and granulocytes by ~10 days as expected. See Hemoglobin, Platelet Count, Anc, Wbc, Aml.