Hemoglobin failure, or abnormal hemoglobin (such as that of sickle-cell disease). The ability of each hemoglobin molecule to carry oxygen is normally modified by altered blood pH or CO, causing an altered oxygen–hemoglobin dissociation curve. However, it can also be pathologically altered in, e.g., carbon monoxide poisoning. Decrease of hemoglobin, with or without an absolute decrease of red blood cells, leads to symptoms of anemia. Anemia has many different causes, although iron deficiency and its resultant iron deficiency anemia are the most common causes in the Western world. As absence of iron decreases heme synthesis, red blood cells in iron deficiency
Mean corpuscular hemoglobin Mean corpuscular hemoglobin The mean corpuscular hemoglobin , or "mean cell hemoglobin" (MCH), is the average mass of hemoglobin (Hg) per red blood cell (RBC) in a sample of blood. It is reported as part of a standard complete blood count. MCH value is diminished in hypochromic anemias. It is calculated by dividing the total mass of hemoglobin by the number of red blood cells in a volume of blood. MCH=(Hgb*10)/RBC A normal MCH value in humans is 27 to 31 picograms/cell. The amount of hemoglobin per RBC depends on hemoglobin synthesis and the size of the RBC. The MCH