Manual of Clinical Nutrition

Manual of Clinical Nutrition Management II- 20 Copyright © 2013 Compass Group, Inc.

CLASSIFICATION OF SOME ANEMIAS

Test B12 Deficiency Folate Deficiency Iron Deficiency Anemia of Chronic Disease

RBC count D D D D

Hemoglobin D D D Slight D

Hematocrit D D D D

MCV I I D N

MCH I I D N

MCHC N N D N

Reticulocyte count N or D N or D N or D N or D

RDW N or I N or I I N

Serum ferritin I I D N or I

TIBC N N N or I N or D

Transferrin N N N or I N or D

Transferrin

saturation (%)

N N D N or D

Serum iron N N D D

Serum folate N or I D N N

Red cell folate D D N N

Vitamin B12 D N N N

Red blood cells Normochromic,

macrocytic

Normochromic,

macrocytic

Hypochromic,

microcytic

Hypochromic, microcytic

(both mild)

Other Hypersegmented

neutrophils,

macro-ovalocytes

Hypersegmented

neutrophils,

macro-ovalocytes

Anisocytosis Poikilocytosis (slight),

anisocytosis (moderate)

I = increased; N = normal; D = decreased; TIBC = total iron-binding capacity

Source: Grant A, DeHoog S. Nutrition Assessment Support and Management. 5th ed. Seattle, Wash: Grant/DeHoog; 1999:183. Reprinted by
permission.