#Reticulocytosis
IDA 的網狀球不會升高
它是低增生性貧血:骨髓有增生的意圖卻缺乏原料,所以 reticulocyte 偏低或正常。
只有在補鐵後 5–10 天才會出現 reticulocytosis,這正是治療反應的指標。
記法:缺料的工廠開不了工。
#血液專科
https://hema-2026.hsiehting.com/q/111-095
August 4, 2026 at 5:19 AM
B12 治療後的反應時間序
最快:bilirubin、iron、LDH 數天內下降(無效造血立刻停止)。
Reticulocytosis:第 2–3 天上升、第 5–8 天達高峰,可達約 20%。
Hb:1–2 週後約每週上升 1 g/dL,嚴重者一週可上升數克。
最慢:嗜中性球 hypersegmentation 要 10–14 天才消退。
#血液專科
https://hema-2026.hsiehting.com/q/113-079
August 3, 2026 at 2:15 PM
Expect reticulocytosis within 3 to 5 days of treatment, hemoglobin normalization within 1 to 2 months, and neurologic recovery over months. If you don’t see reticulocytosis when you expect it, think iron deficiency.
July 26, 2026 at 9:00 PM
The triad of high LDH, low haptoglobin, and reticulocytosis is highly specific for hemolysis, even in the absence of significant hyperbilirubinemia.
May 6, 2026 at 9:00 PM
Occasionally in dog CBCs, you’ll find reticulocytosis without anaemia. This clues you in to the presence of mild, early disease. So don’t ignore it—use it as a diagnostic tool & investigate more.

Dr DeNicola #IVMA2019 @IVMA1
December 1, 2024 at 3:14 PM
A systematic evaluation of BM microenvironment features, using #scRNA-seq, in #AIHA revealed a complex scenario marked by T-cell infiltration, clonality, and up-/down-regulation of various cytokine genes. #medsky
#STTT #OpenAccess:
Bone marrow microenvironment in autoimmune hemolytic anemia: from trephine biopsy to single cell RNA sequencing
The role of bone marrow (BM) compensatory response in autoimmune hemolytic anemias (AIHAs) is emerging and inadequate reticulocytosis has been associated with more severe disease and adverse outcomes....
doi.org
September 16, 2025 at 1:25 PM