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Clinical utility of the reticulocyte hemoglobin content in the diagnosis of iron deficiency
Abstract
Determination of the reticulocyte hemoglobin content (CHr) provides an early measure of functional iron deficiency because reticulocytes are the earliest erythrocytes released into blood and circulate for only 1 to 2 days. The CHr in 78 patients undergoing bone marrow examination was measured to assess its clinical utility for the diagnosis of iron deficiency. Twenty-eight patients were iron deficient, based on the lack of stainable iron in the aspirate. The diagnostic power of CHr is limited in patients with high mean cellular volume (MCV) or red cell disorders such as thalassemia. However, when patients with MCV more than 100 fL are excluded, receiver operator curve analysis of CHr, ferritin, transferrin saturation, and MCV demonstrates that CHr has the highest overall sensitivity and specificity of these peripheral blood tests for predicting the absence of bone marrow iron stores.
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Citations
Cites
Intact transferrin receptors in human plasma and their relation to erythropoiesis
Huebers, H., Beguin, Y., Pootrakul, P., Einspahr, D., & Finch, C. (1990) · Blood · doi:10.1182/blood.v75.1.102.102 · Cited by 364
Cited by
Zimmermann, M. B., & Hurrell, R. F. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61235-5 · Cited by 1,405
Diagnosis and Management of Iron-Deficiency Anaemia
COOK, J. (2005) · Best Practice & Research Clinical Haematology · doi:10.1016/j.beha.2004.08.022 · Cited by 452
Snook, J., Bhala, N., Beales, I. L. P., Cannings, D., Kightley, C., Logan, R. P., Pritchard, D. M., Sidhu, R., Surgenor, S., Thomas, W., et al. (2021) · Gut · doi:10.1136/gutjnl-2021-325210 · Cited by 303
Methods to assess iron and iodine status
Zimmermann, M. B. (2008) · British Journal of Nutrition · doi:10.1017/s000711450800679x · Cited by 263
Quality counts: new parameters in blood cell counting
BRIGGS, C. (2009) · International Journal of Laboratory Hematology · doi:10.1111/j.1751-553x.2009.01160.x · Cited by 260
Metadata
- Authors
- Mast, A. E., Blinder, M. A., Lu, Q., Flax, S., & Dietzen, D. J.
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2002-02-15
- Volume
- 99
- Issue
- 4
- Pages
- 1489-1491
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W2053150591
- Cited by
- 243
- References
- 1
- FWCI
- 4.19
- Type
- journal article
- Language
- en
- Open access
- closed
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- Mast, A. E., Blinder, M. A., Lu, Q., Flax, S., & Dietzen, D. J. (2002). Clinical utility of the reticulocyte hemoglobin content in the diagnosis of iron deficiency. Blood. https://doi.org/10.1182/blood.v99.4.1489
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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