What are the expected hemogram findings for anemia of chronic disease?

MCV 89 fL; RBC 3.4 million/mm3; RDW 12.7%

In anemia of chronic disease, the expected hematological findings typically include a normocytic anemia, which is reflected in an average corpuscular volume (MCV) that is usually around 80-100 fL. This indicates that red blood cells are of normal size. In option A, the MCV is reported as 89 fL, which aligns with this normocytic classification characteristic of anemia of chronic disease.

Additionally, the red blood cell (RBC) count of 3.4 million/mm3 indicates a mild anemia, which is consistent with the degree of anemia typically seen in chronic disease conditions. The red cell distribution width (RDW) of 12.7% being within the normal range further supports the diagnosis. In anemia of chronic disease, RDW may remain normal or slightly decreased, as the anemia is usually due to underproduction of red blood cells rather than a high turnover or increased destruction of red blood cells.

Overall, the findings in option A are indicative of the expected parameters for anemia of chronic disease, highlighting a typical normocytic profile with a balanced RBC count and RDW.

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MCV 76 fL; RBC 6.2 million/mm3; RDW 12.9%

MCV 71 fL; RBC 3.8 million/mm3; RDW 16.6%

MCV 105 fL; RBC 3.2 million/mm3; RDW 17.4%

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