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RBCs w/ high membrane:Hb ratio (due to RBC dehydration)
Associated w/ HbC, HbS/HbC, Asplenia, Thallasemia, Fe-def anemia |
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small nuclear remnants seen w/ asplenia |
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Seen in G6PD def from splenic macrophages phagocytosing Heinz bodies |
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seen in G6PD def: oxidative damage causes sulfahydryl groups on Hb to polymerize --> Hb precipitation |
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seen in spherocytosis: microcytic, hyperchromic cell from removal of RBC membrane |
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RBCs are unequal size
(remember anisocoria, uneven pupil size) |
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abnormal shaped RBCs
TYPES:
*MEMEBRANE ABNORMALITIES - Acanthocytes or Spur/Spike cells - Codocytes or Target cells - Echinocytes and Burr cells - Elliptocytes and Ovalocytes - Spherocytes - Stomatocytes or Mouth cells - Drepanocytes or Sickle Cells - Degmacytes or "bite cells"
*TRAUMA - Dacrocytes or Teardrop Cells - Keratocytes - Microspherocytes and Pyropoikilocytes - Schistocytes - Semilunar bodies |
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erythroid progenitor cells; Parvovirus B19 can infect them and cause an aplastic crisis in susceptible people (i.e. people w/ chronic hemolytic anemias that need high RBC turnover) |
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Associated w/ toxic injury to bone marrow: - Sideroblastic anemia - Lead poisoning - Beta thalassemia |
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immature nucleated RBCs & immature granulocytes in blood: sign of myelophthisic anemia (e.g. bone mets) |
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