MCHC

Complete Blood CountBlood HealthBlood

Mean corpuscular hemoglobin concentration (MCHC) measures the average concentration of hemoglobin within red blood cells. Unlike MCH (total hemoglobin per cell), MCHC reflects hemoglobin density — how concentrated the hemoglobin is within the cell volume. It is calculated as hemoglobin divided by hematocrit.

Why it matters: MCHC is one of the most tightly regulated blood values. A high MCHC is relatively uncommon and fairly specific — it is seen in hereditary spherocytosis and some autoimmune hemolytic anemias. A low MCHC is associated with hypochromic anemia (such as iron deficiency or thalassemia).

Reference Range
320.0 – 360.0g/L
320
360LowNormalHigh
Symptoms of Low MCHC
Fatigue
Pale skin
Cold extremities
Symptoms of High MCHC
Typically without noticeable symptoms; usually evaluated alongside MCV and MCH
What Moves It

May increase with:

Hereditary spherocytosis
Autoimmune hemolytic anemia
Severe dehydration
Cold agglutinin disease (artifactual)

May decrease with:

Iron deficiency (most common)
Thalassemia
Sideroblastic anemia
Lead poisoning
Associated Conditions
Iron deficiency anemiaHereditary spherocytosisThalassemiaAutoimmune hemolytic anemia
Related Markers
MCVMCHHemoglobin
Common questions

What is MCHC?

Mean corpuscular hemoglobin concentration (MCHC) measures the average concentration of hemoglobin within red blood cells. Unlike MCH (total hemoglobin per cell), MCHC reflects hemoglobin density — how concentrated the hemoglobin is within the cell volume. It is calculated as hemoglobin divided by hematocrit.

What might a high or low MCHC mean?

MCHC is one of the most tightly regulated blood values. A high MCHC is relatively uncommon and fairly specific — it is seen in hereditary spherocytosis and some autoimmune hemolytic anemias. A low MCHC is associated with hypochromic anemia (such as iron deficiency or thalassemia).

What is the typical reference range for MCHC?

The general-population reference range shown here is 320 – 360 g/L. Reference ranges describe the general population and are not a personal target — discuss your results with your physician.

What can affect MCHC?

It may be higher with: Hereditary spherocytosis, Autoimmune hemolytic anemia, Severe dehydration, Cold agglutinin disease (artifactual). It may be lower with: Iron deficiency (most common), Thalassemia, Sideroblastic anemia, Lead poisoning.

More in Complete Blood Count
BasophilsBasophils %EosinophilsEosinophils %ESRHematocritHemoglobinLymphocytesLymphocytes %MCH

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