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Blood, 15 February 2002, Vol. 99, No. 4, pp. 1489-1491

BRIEF REPORT

Clinical utility of the reticulocyte hemoglobin content in the diagnosis of iron deficiency

Alan E. Mast, Morey A. Blinder, Qing Lu, Sherri Flax, and Dennis J. Dietzen

From the Research and Pathology Services, Department of Veterans Affairs, Memphis, TN; the Department of Pathology, University of Tennessee, Memphis; and the Department of Pathology and Immunology, Washington University, St Louis, MO.

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.

© 2002 by The American Society of Hematology.
 

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