Red cell distribution width

The RBC is either in the upper half of or above the reference interval in thalassemias but within the reference interval in most hemoglobinopathies without a coinherited thalassemia. In contrast the RBC is low in iron deficiency anemias and anemia of chronic disease and is proportionally related to the decrease in Hb concentration. The red cell distribution width (ROW), a measure of the variation in the size of the RBC (anisocytosis), tends to be above the reference interval in iron deficiency anemias and other microcytic anemias. The RDW in thalassemias is usually within the reference interval, reflecting the rmiformity of the red cell size. However, in Hb H disease and 5P-thalassemia the RDW is moderately increased. 

The in vivo influence of apitherapy diet on erythrocytes in wistar rats with experimentally CCL4-induced hepatotoxicity was determined, showing that an apitherapy diet and RJ in laboratory animals improved the hematologic parameter values to normal levels (number of erythrocytes, RBC hemoglobin, HGB hematocrit, HCT mean corpuscular volume, MCV, VEM mean corpuscular hemoglobin, MCH, HEM mean corpuscular hemoglobin concentration, MCHC, CHEM red cell distribution width, RDW) [76]. 

Red blood cell distribution width (RDW) Reticulocyte count 11.5-14.5% (0.115-0.145) A higher value means the presence of many different sizes of RBCs the MCV is therefore less reliable. 

---