You are still having anemia. Your iron is still low. However, you have a few other abnormalities that are interesting and don't really go with iron-deficiency anemia. They may be something weird going on causing your anemia. I would like to do more blood tests and refer you to hematology (blood specialists). You can come to the lab anytime without an appointment. For the referral, I will put it on your portal for you to download. You should call them and make an appointment that works for your schedule.
005009 - CBC With Differential/Platelet Reported 12/3/2020 8:15 AM Status Final Lab Name CB
Test Name Result Flags Reference Range
WBC
8.1
3.4-10.8 x10E3/uL
RBC
3.56*
L
3.77-5.28 x10E6/uL
Hemoglobin
9.8*
L
11.1-15.9 g/dL
Hematocrit
29.6*
L
34.0-46.6 %
MCV
83
79-97 fL
MCH
27.5
26.6-33.0 pg
MCHC
33.1
31.5-35.7 g/dL
RDW
13.1
11.7-15.4 %
Platelets
318
150-450 x10E3/uL
Neutrophils
61
Not Estab. %
Lymphs
29
Not Estab. %
Monocytes
8
Not Estab. %
Eos
2
Not Estab. %
Basos
0
Not Estab. %
Neutrophils (Absolute)
5.0
1.4-7.0 x10E3/uL
Lymphs (Absolute)
2.3
0.7-3.1 x10E3/uL
Monocytes(Absolute)
0.6
0.1-0.9 x10E3/uL
Eos (Absolute)
0.1
0.0-0.4 x10E3/uL
Baso (Absolute)
0.0
0.0-0.2 x10E3/uL
Immature Granulocytes
0
Not Estab. %
Immature Grans (Abs)
0.0
0.0-0.1 x10E3/uL
004598 - Ferritin, Serum Reported 12/3/2020 8:15 AM Status Final Category CB Lab Name CB
Test Name Result Flags Reference Range
Ferritin, Serum
88*
H
15-77 ng/mL
Performing Laboratory Information Name CB Laboratory Report Name Id Age 18 yrs at result time DOB Sex F Ordered by Order # Collected 12/2/2020 10:23 AM Received 12/2/2020 Msg# 2578 001321 - Iron and TIBC Reported 12/4/2020 8:15 AM Status Final Lab Name CB
Test Name Result Flags Reference Range
Iron Bind.Cap.(TIBC)
263
250-450 ug/dL
UIBC
240
131-425 ug/dL
Iron
23*
L
27-159 ug/dL
Iron Saturation
9*
LL
15-55 %
977900 - Written Authorization Reported 12/4/2020 8:15 AM Status Final Category CB Lab Name CB
Test Name Result Flags Reference Range
Written Authorization
Comment
Written Authorization Received. Authorization received from 12-04-2020
Most commonly this is associated with chronic inflammatory disorders, such as chronic infection, autoimmune diseases (特别是类风湿），kidney disease, and cancer.
大家好！
女儿今年大一，在学校生病化验血时说有贫血，医生建议补铁，补了一个月后再去化验还是贫血。下面是医生的Email 和化验报告，请大家帮助看看会是什么问题，先谢谢大家了！
You are still having anemia. Your iron is still low. However, you have a few other abnormalities that are interesting and don't really go with iron-deficiency anemia. They may be something weird going on causing your anemia. I would like to do more blood tests and refer you to hematology (blood specialists). You can come to the lab anytime without an appointment. For the referral, I will put it on your portal for you to download. You should call them and make an appointment that works for your schedule.
005009 - CBC With Differential/Platelet Reported 12/3/2020 8:15 AM Status Final Lab Name CBAuthorization received from 12-04-2020
补充：女儿由于青春痘现在正在进行Acretin治疗，目前吃MYORISAN，已经吃了半年。不知和这个有没有关系。
有一个指标，Ferritin 却是高，不符合缺铁性贫血，如是缺铁性这项应该低。
她的指标符合这类型 anemia of chronic disease, 所以还得继续查。
供参考！
Most commonly this is associated with chronic inflammatory disorders, such as chronic infection, autoimmune diseases (特别是类风湿），kidney disease, and cancer.
如果有过肾病，应该与之相关
肾炎的话， 可能骨髓/造血功能会有影响， 吃得不多， 流失的多 （月经 之类的失血 ..猜的), 结果就贫血啊。。。。
肾脏病引起的贫血主要原因是促红细胞生成素（erythropoietin）减少，导致骨髓不能生成足够的红细胞。不过，这种情况多出现在慢性或很严重的肾病。临床上应该可以测EPO浓度，另外，叶酸和vitB12缺乏也可引起贫血。
我从小到大一直血色素在10附近， 努力吃各种杂粮才涨了一点点，后来就随它去了反正也没有办法，最近测血发现血色素居然超过11了，我吃了两包黑巧克力，每天吃几块，不知道是不是这个原因。
UTI的发病率远大于男性。预防主要是注意会阴部清洁，特别是经期和成年女性性生活前后的清洁卫生。多喝水增加排尿，美国有种说法是多喝Cranberry Juice。经常发生的UTI除了吃抗菌素外需要看专科医生，排除泌尿系统解剖和功能上的异常。