I have autoimmune thyroiditis and my blood test results was abnormal. Should I worry?

Question

Hello doctor,

I did a blood test, and some of the results were alarming. The blood test was taken to check my autoimmune thyroiditis. But I do not know what that means. I am taking Levothyroxine.

Please explain to me the following:

1) Hemoglobin levels: 119 g/dL.

2) MCV- 80.5.

3) Plt- 504.

4) PCT- 0.53.

5) %MONO- 11.3.

6) Ferritin- 8800 ng/mL.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I am sorry for the discomfort. I saw the report you have attached (attachments removed to protect the patient's identity). You have a hemoglobin (Hb) value just less than the standard lower limit. Your ferritin and MCV (mean corpuscular volume) values are low. Combining all these indicates iron deficiency anemia. In IDA (iron deficiency anemia), serum ferritin is the earliest parameter to decrease.

Ferritin indicates iron stored in our bodies. You have high platelet and PCT (procalcitonin) values. A platelet count above 450000 is called thrombocytosis. It could be primary or secondary thrombocytosis. Anemia and infection are common causes of an increase in platelet count, also known as reactive thrombocytosis. Increased monocytes indicate a possible viral infection.

Overall, the finding I can guide you to is that there is iron deficiency anemia, which could be one reason for the increased platelet count in your blood. Before treating IDA, the cause should be investigated to determine whether it is nutritional or due to other factors. I would suggest an iron-rich diet. Also, ask your treating physician to add oral iron tablets. Follow up if necessary.

I hope this helps.

Thanks.