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A low RDW (below 10.2%) means that the red blood cells vary very little in size. One reason for a low RDW level is macrocytic anemia. Another cause of a low RDW level is microcytic anemia. In these two disorders the red blood cells do not vary much in size because they are either all small or all large.
A: In a blood test, a decreased mean corpuscular hemoglobin, MCH, and elevated red cell distribution width, or RDW, value means a low red blood cell count, which indicates anemia, states WebMD. Normal adult MCH and RDW values are 28 to 34 picograms per cell and 11.5 to 14.5 percent respectively.