Macrocytosis

Macrocytosis
Other namesMacrocytes
SpecialtyHematology
SymptomsShortness of breath, weakness, heart murmur, tachycardia
CausesVitamin B12 deficiency, Folic acid deficiency, Malabsorption, Alcoholism
Risk factorsBone marrow failure, hematologic malignancy
Diagnostic methodSymptoms, Complete blood count, Peripheral blood smear, Vitamin B12 level, Red cell folate level

Macrocytosis is a condition where red blood cells are larger than normal.[1] These enlarged cells, also known as macrocytes, are defined by a mean corpuscular volume (MCV) that exceeds the upper reference range established by the laboratory and hematology analyzer (usually >110 fL).[2] Upon examination of a peripheral blood smear under microscope, these macrocytes appear larger than standard erythrocytes. It’s noteworthy that macrocytosis is a common morphological feature in neonatal peripheral blood.[3] The presence of macrocytosis can indicate a range of conditions, from benign, treatable illnesses to more serious underlying disorders.

  1. ^ Kaferle, Joyce; Strzoda, Cheryl E. (2009-02-01). "Evaluation of macrocytosis". American Family Physician. 79 (3): 203–208. ISSN 0002-838X. PMID 19202968.
  2. ^ Woodruff, James N.; Blanchard, Anita K. (2016-06-11). Primary Care of Adult Women, An Issue of Obstetrics and Gynecology Clinics of North America. Elsevier Health Sciences. ISBN 978-0-323-44623-5.
  3. ^ Bain, Barbara J. (2015-01-20). Blood Cells: A Practical Guide. John Wiley & Sons. ISBN 978-1-118-81733-9.