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Aedh AI, Khalil MSM, Abd-Elkader AS, El-Khawanky MM, Alshehri HM, Hussein A, Alghamdi AAL, Hasan A. Reticulocyte Hemoglobin as a Screening Test for Iron Deficiency Anemia: A New Cut-Off. Hematol Rep 2023; 15:201-211. [PMID: 36975734 PMCID: PMC10048437 DOI: 10.3390/hematolrep15010021] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 02/18/2023] [Accepted: 03/09/2023] [Indexed: 03/17/2023] Open
Abstract
Introduction: Latent iron deficiency (LID), in which iron stores in the body are depleted without incidental anemia, poses a key diagnostic challenge. Reticulocyte hemoglobin content (Ret-Hb) is directly correlated with the functionally available iron for heme synthesis in erythroblasts. Consequently, Ret-Hb has been proposed as an efficient iron status marker. Aim: To assess the importance of Ret-Hb in detecting latent iron deficiency as well as its use in screening for iron deficiency anemia. Materials and Methods: A study involving 108 individuals was conducted at Najran University Hospital, 64 of whom had iron deficiency anemia (IDA) and 44 of whom had normal hemoglobin levels. All patients were subjected to complete blood count (CBC), reticulocyte percentage, Ret-Hb, serum iron, total iron binding capacity (TIBC), and serum ferritin measurements. Results: A significant decrease in Ret-Hb level was observed in IDA patients compared to non-anemic individuals, with a cut-off value of 21.2 pg (a value below which indicates IDA). Conclusion: The measurement of Ret-Hb, in addition to CBC parameters and indices, provides an accessible predictive marker for both iron deficiency (ID) and IDA. Lowering the Ret-Hb cut-off could better allow for its use as a screening parameter for IDA.
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Affiliation(s)
- Abdullah I. Aedh
- Internal Medicine Department, College of Medicine, Najran University, Najran 55461, Saudi Arabia; (A.I.A.)
| | - Mohamed S. M. Khalil
- Clinical Pathology Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
| | - Alaa S. Abd-Elkader
- Clinical Pathology Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
| | - Mohamed M. El-Khawanky
- Clinical Hematopathology, College of Medicine, Najran University, Najran 55461, Saudi Arabia
| | - Hamdan M. Alshehri
- Internal Medicine Department, College of Medicine, Najran University, Najran 55461, Saudi Arabia; (A.I.A.)
| | - Amr Hussein
- Internal Medicine Department, Faculty of Medicine, Al-Azhar University, Cairo 11884, Egypt
| | - Ali A. Lafi Alghamdi
- Laboratory Department, Prince Mishari bin Saud Hospital, Saudi Ministry of Health, Baljurashi 22888, Saudi Arabia
| | - Abdulkarim Hasan
- Laboratory Department, Prince Mishari bin Saud Hospital, Saudi Ministry of Health, Baljurashi 22888, Saudi Arabia
- Pathology Department, Faculty of Medicine, Al-Azhar University, Cairo 11884, Egypt
- Correspondence: ; Tel./Fax: +20-224012932
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Frater JL. Comments regarding "The accuracy of mean corpuscular volume guided anaemia classification in primary care" by Schop et al. (Family Practice, 2021, 1-5, doi:10.1093/fampra/cmab034) and the problem of laboratory error in red blood cell mean corpuscular volume. Fam Pract 2021; 38:852-854. [PMID: 34617119 DOI: 10.1093/fampra/cmab132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- John L Frater
- Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, United States
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Demirdal T, Sen P. Response letter to Drs. Beyan and Beyan. Diagn Microbiol Infect Dis 2020; 97:115035. [PMID: 32253073 DOI: 10.1016/j.diagmicrobio.2020.115035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Accepted: 03/08/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Tuna Demirdal
- Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology
| | - Pinar Sen
- Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology.
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