The pattern low MCV + low MCH with normal hemoglobin suggests early iron deficiency anemia or possibly thalassemia trait.
• Since hemoglobin is still normal, this might be an early stage.
• Mild neutrophilia is non-specific – may indicate recent or resolving infection
Next Steps
Iron studies (serum
ferritin, serum iron, TIBC) – to check for iron deficiency.
2. Hb electrophoresis – to rule out thalassemia trait if family history or persistent microcytosis despite iron supplements.
3. Dietary check – ensure adequate iron intake (green leafy vegetables, beans, jaggery, lean meats).
4. Repeat CBC in 1–2 months after correction or treatment.
Health Tips
• Not a major problem right now, but needs follow-up to prevent progression to anemia.
• If symptoms like fatigue, weakness, palpitations, or pale skin occur, consult a physician.