What can cause anemia, high platelets, and high WBC count?


Q: I am a 38 year old female.I was diagnosed a year ago with anemia. It was found on just a routine blood test HCT 21. I received two units of blood and was ok until about three months ago when I started eating ice by the buckets. My hct was 21 again and I was sent to a hematologist. We went over my medical history and I told her that I seem to always have a higher than normal WBC,and high platelet count. I was tested for celiac disease and some other malabsorption disorders (all were negative) I have received three iron infusions and had my labs checked yesterday. WBC 11.3, RBC 5.23 with microcytes, and anisocytosis present. MCV 78, MCH 24.7, MCHC 31.6 and platelets 488 with large platelets observed. Also my EOS (absolute) was 0.8. Everything else was normal. I am still incredibly tired (like going to sleep at 8:00 tired and sleeping all days on the weekend.) My hematologist said that when I go back in June she would look at all my blood work and we would decide if I should have a bone marrow biopsy. My question is: What could these labs be indicative of?


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