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🩸 Mentzer Index Calculator

Use the Mentzer index to distinguish iron deficiency from thalassaemia trait in microcytosis.

Clinical takeaway

Thalassaemia trait: high RBC, low MCV → low index.

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When to use

First-pass discrimination of microcytic anaemia.

How it works

Mentzer index = MCV ÷ RBC count. < 13 favours thalassaemia trait; > 13 favours iron deficiency.

Key points

  • Thalassaemia trait: high RBC, low MCV → low index.
  • Iron deficiency: low RBC → high index.
  • Confirm with ferritin and haemoglobin electrophoresis.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

MCV70 fL
RBC count6.0 ×10¹²/L

Mentzer index11.7

  • Interpretation< 13 — favours thalassaemia trait
  • FormulaMCV ÷ RBC (RBC in ×10¹²/L)

Frequently asked questions

What is Mentzer Index Calculator?
Use the Mentzer index to distinguish iron deficiency from thalassaemia trait in microcytosis.
How is Mentzer Index Calculator calculated? What is the core formula?
Mentzer index = MCV ÷ RBC count. < 13 favours thalassaemia trait; > 13 favours iron deficiency.
When is Mentzer Index Calculator used?
First-pass discrimination of microcytic anaemia.
What are the key clinical points for Mentzer Index Calculator?
Thalassaemia trait: high RBC, low MCV → low index. Iron deficiency: low RBC → high index. Confirm with ferritin and haemoglobin electrophoresis.
What are the limits and cautions when using Mentzer Index Calculator?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Mentzer Index Calculator calculated in practice? Can you show a worked example?
Inputs: MCV 70 fL, RBC count 6.0 ×10¹²/L → Result: Mentzer index 11.7(Interpretation: < 13 — favours thalassaemia trait, Formula: MCV ÷ RBC (RBC in ×10¹²/L))

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