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Abnormal RBC Morphology
68K 12-01 Hemo 101 Unit 2
26
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Undergraduate 2
01/11/2012

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Term
Anisocytosis
Definition
Variation in the size of RBCS
Term
Poikilocytosis
Definition
Variation in the shape of RBCs
Term
Inclusion Bodies
Definition
PArticles made up of various substances not normally found in a RBC.
Term
Normal RBC
Definition
6-8microns, round bioconcave, pink to reddish orange, normal central pallor 2-3um, No inclusions, 90% hemoglobin.
Term
Microcytes
Definition
smaller than normal RBC <5microns.
Seen in: lead deficiency, thalassemia, lead poisoning, anemia of chronic disorders.
Term
MAcrocytes
Definition
LArger than RBCs >8microns.
Seen in: Liver disease, hypothyroidism, megaloblastic anemia, chemotherapy, normal in newborns.
Term
Hypochromic Cells
Definition
pale cell with increased central pallor, result of decreaed Hgb and iron production.
Term
Polychromic Cells
Definition
RBCs with a faint blue color (due to RNA) larger than normal RBCS are actually reticulocytes.
Term
Rouleaux Formation
Definition
arranged in stacks like coins.
Causes: increased plasma protein, multiple myeloma, macroglobulinemia.
Term
Agglutination
Definition
Clumping of cells
Causes: antigen/anitbody reaction, autoimmune hemolytic anemia.
Term
Spherocyte
Definition
Lacks the bi-concave shape, no central pallor, increased Hgb.
Hereidtary spherocytosis, hemolytic anemia, post transfusion.
Term
Ovalocyte/Ellitocyte
Definition
oval or egg shaped, ovalocytes are more egg shaped, elliptocytes more pencil shaped.
Ovalocytes: Thalassemia, Megaloblastic Anemia.
Elliptocytes: Hereditary elliptocytosis, Iron deficiency anemia.
Term
Echinocyte (crenated RBC or burr)
Definition
roudned spicules, hypertonic saline, generally technical error.
Hypernatremia
Term
Acanthocyte
Definition
similar to echinocytes, irregulary spaced spicules, uneven projections, blunt.
Liver disease, alcoholism, post-splenectomy, Vitamin E defic.
Term
Schistocyte
Definition
fragmented cells, bizarre looking, alert immediate med. eval.
Disseminated Intravascular Coagulation, hemolytic anemia, artifical heart valves.
Term
Drepanocyte (sickle cell)
Definition
Crescent shaped cells, resembles a sicle with two pointed ends, rigid and inflexible.
Sickle Cell anemia due to hemoglobin S
Term
Codocyte (target cell)
Definition
hypochromic target shaped cells, excess cell mebrane in relation to Hgb present, appear when Hgb is affected.
Hallmark cell of liver disease, Hgb C disease, post splenectomy.
Term
Dacrocyte (tear drop cell)
Definition
pear or teardrop shaped, elongated tail at one end, seen when cells pass through the spleen.
Thalassemia, iron deficiency.
Term
Keratocyte ( bit cell or helmet cell)
Definition
half moon shaped with two or more spicules, deformed but typically normal volume.
Glucose-6-phosphate dehydrogenase defic, pulmonary embolism, disseminated intravascular coagulation.
Term
Stomatocyte
Definition
Have a central pallor that has more of a slit than a round shape, lack bioconcave shape.
Chronic liver disease, hereditary stomatocytosis, hereditary spherocytosis.
Term
Howell-Jolly Bodies
Definition
remnants of DNA, appear round, deep purple granules within the RBC, eccentrically located, RBC maturation is rushed.
One post splenectomy
multiple, megaloblastic anemia
Term
Pappen-heimer bodies (siderotic granules)
Definition
small, beaded blue-purple granules of free iron, RBC periphery, distinuished using {Russian blue stain.
Hereditary Hemachromatosis, Iron loading anemias, Thalassemia, post splenectomy.
Term
Basophilic Stippling
Definition
Dark blue granules (RNA) located throught cytoplasm dustlike or coarse appearance.
Lead poisoning or thalessemia.
Term
Cabolt's Ring
Definition
Thin, twisted (figure 8), threadlike strands.
Very Rare, lead poisoning
Term
Heinz Bodies
Definition
aggregates of denatured precipitated Hgb, Crystol Violet stain or brilliant cresyl blue, taken out by spleen, leads to bite or helmet cells.
G6PD defic, Alpha Thalassemia
Term
Parasites (Malaria)
Definition
Plasmodiu, species of the malarial disease,
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