What Does High MCHC Mean?

High MCHC means red blood cells are more concentrated with hemoglobin than normal. This is uncommon.

Causes

  • Hereditary spherocytosis — genetic condition
  • Severe burns — red cells lose water
  • Autoimmune hemolytic anemia
  • Cold agglutinin disease
  • Lab artifact (often the cause)

Next Steps

  • Verify with repeat CBC
  • Blood smear examination
  • Hemolysis markers if suspected
Source: NLM MedlinePlus, American Association for Clinical Chemistry.

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