Red Cell Distribution Width (RDW)
- Sample Type
- Standard
- Fasting
- No
- Unit
- %
RDW measures the variation in the size (volume) of red blood cells (RBCs), a phenomenon known as anisocytosis. In a healthy individual, RBCs are relatively uniform in size. RDW is a critical component of the Complete Blood Count (CBC) because it helps differentiate between various types of anemia. For instance, a high RDW with a low Mean Corpuscular Volume (MCV) typically points toward iron deficiency anemia, whereas a normal RDW with low MCV might suggest Thalassemia or anemia of chronic disease. It is also an emerging prognostic marker for cardiovascular health and inflammatory status.
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Why Context Matters
Recent blood transfusions can falsely elevate RDW as donor cells mix with the patient's cells. Additionally, cold agglutinins (antibodies that cause RBCs to clump) or significantly high white blood cell counts can lead to spurious automated readings.
Lab ranges are statistical averages, not biological laws. "Normal" for a 20-year-old male isn't normal for a 60-year-old female.
Clinical References
Source-of-truth databases and clinical guidelines for Red Cell Distribution Width (RDW):
Official Sources
Research & Guidelines
Related Indicators
Medically Reviewed by Dr. Binoy Babu, MBBS
Board Certified Doctor • 10+ Years Clinical Experience
Dr. Babu is a practicing physician dedicated to empowering patients with clear, actionable medical information. He founded 2opi to bridge the gap between complex lab reports and patient understanding, ensuring everyone has access to a reliable second opinion.
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