Quantitative determinations of microcytic-hypochromic red blood cell population and glycerol permeability in iron-deficiency anemia and beta thalassemia minor

Ann Hematol. 1999 Oct;78(10):468-71. doi: 10.1007/s002770050600.

Abstract

The Hl/H2 Technicon automated cell analyzer measures, in addition to the usual red blood cell (RBC) parameters, subpopulations of microcytic (M) and hypochromic (H) red blood cells. The M/H ratio may be useful in the differential diagnosis of iron-deficiency anemia (IDA) and beta thalassemia minor (Thal). Thirty-three iron-deficient patients and 26 thalassemia patients were studied. The M/H ratio was found to be higher in thalassemia patients than in IDA patients. Using a cut-off point of 1.9 M/H ratio, the calculated discriminant efficiency was 88%. When glycerol lysis values were determined at 70 s as a cut-off point, the discriminant efficiency was slightly higher, at 91%. Thus, the combination of the M/H ratio and the glycerol lysis time (GLT) improves the discriminant efficiency and provides a good diagnostic tool to differentiate between the two microcytic-hypochromic anemias. The study suggests that the M/H ratio together with the GLT could serve as a useful screening tool, prior to the application of other more sophisticated methods.

MeSH terms

  • Adult
  • Anemia, Hypochromic / blood
  • Anemia, Iron-Deficiency / blood*
  • Anemia, Macrocytic / blood
  • Cell Membrane Permeability / drug effects
  • Erythrocyte Indices
  • Female
  • Glycerol / pharmacokinetics*
  • Humans
  • Male
  • Middle Aged
  • Osmotic Fragility
  • ROC Curve
  • Sensitivity and Specificity
  • beta-Thalassemia / blood*

Substances

  • Glycerol