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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.
can cause the RDW to be high and the MCV to be low. In this situation, the red blood cells vary in size. when they are broke up (which is why the RDW level is high) but the cells do not take up much space. (which is why the MCV level is low).