Chapter 6 - WBC and PLATELET STUDIES Flashcards
• Large purple to black azurophilic granules
Toxic granulation
altered primary granules
Toxic granulation
Severe infection
Toxic granulation
chemical poisoning
Toxic granulation
toxic states
Toxic granulation
• larger than 2° granules and stain dark blue - black.
Toxic granulation
blue, round or elongated bodies
Doble bodies /Amato
Single or multiple, arranged in parallel rows
Doble bodies /Amato
Aggregates of free ribosomes
Doble bodies /Amato
Severe infections, burn, surgery
Doble bodies /Amato
chemotherapy
Doble bodies /Amato
May - Hegglin
Doble bodies /Amato
Large empty areas within the cell
Cytoplasmic vacuolation
Represents end stage of phagocytosis
Cytoplasmic vacuolation
Septicemia, severe infections, toxic states
Cytoplasmic vacuolation
Cells show foamy cytoplasm
Atypical/Reactive lymphocyte/ Downey cells
seen in Infectious Mononucleosis
Atypical/Reactive lymphocyte/ Downey cells
Neutrophils have single or bilobed nuclei
Hypolobulation
Decreased segmentation
Hypolobulation
Pelger-Huet Anomaly
Hypolobulation
Neutrophils show more than 4 lobes
Hypersegmentation
Abnormal DNA synthesis
Hypersegmentation
Megaloblastic anemia
Hypersegmentation
shrunken and dehydrated nucleus of cells that are about to die
Pyknotic cell
nuclear remnant of lymphocyte, seen after smear preparation
Smudge cell
Thumbprint appearance; associated with CLL
Smudge cell
nuclear remnants of granulocytic cell
Basket cell
drumstick like body attached on one of the lobes of neutrophil nucleus
Barr Body
Pink or red rod-shaped structures
Auer rods
Fused primary granules; Seen in AML
Auer rods
Large, coarse blue-black granules in all WBCs
Alder - Reilly Granulation
abnormal polys accharide metabolism which prevents the formation of secondary granules
Alder - Reilly Granulation
characterized by leucopenia, variable thrombocytopenia, giant platelets
May - Hegglin anomaly
Presence of gray - blue spindle shaped inclusions in the cytoplasm of Neutrophils and Monocytes
May - Hegglin anomaly
Random movement of phagocytes is normal but directional motility is impaired
Job’s Syndrome
Cells respond slowly to chemotactic agents
Job’s Syndrome
Characterized by large, blue to grayish granules in Neutrophils that vary in size and color and stain positive with peroxidase, Sudan black B (SBB) and Acid phosphatase (ACP) stains.
Chediak Higashi Anomaly
granules are normal in content but abnormally packaged
Chediak Higashi Anomaly
Phagocytes ingest but cannot kill catalase (+) organism because of lack of appropriate respiratory burst
Chronic Granulomatous Disease
screening test for neutrophil function (ability of neutrophils to attack bacteria)
NTR (Nitroblue Tetrazolium Reduction ) test
yellow water soluble dye is reduced to insoluble blue formazan
NTR (Nitroblue Tetrazolium Reduction ) test
tests migration of N in response to a chemotactic factor
Boyden micropore filter
evaluates the speed, type and number of phagocytes that respond to a skin abrasion
Rebuck skin window
emission of low-level light pulses by stimulated cell
Chemiluminescence:
a stimulated or atypical lymphocyte with denser and more opaque cytoplasm
Ferrata cell
associated with SBE
Ferrata cell
a lymphocyte with notched, lobulated, segmented, clover leaf like nucleus
Reider Cell
associated with chronic lymphocytic leukemia
Reider Cell
Neutrophil with large purple homogenous round inclusion with nucleus wrapped around
L.E. cell
A lymphocyte with hair-like cytoplasmic projections
Hairy cell
Round lymph cell with nucleus that is grooved or convoluted
Sezary cell
Seen in Sezray syndrome
Sezary cell
plasma cell with red to pink cytoplasm; Associated with increase in IgA
Flame cell
plasma cell that contains small colorless (or blue or pink) vacuoles
Grape cell/Mott cell, Morula cell
large protein globules giving the appearance of grapes
Grape cell/Mott cell, Morula cell
Mucopolysaccharidoses
I Hurlers
II Hunters
III Sanfilippo
IV Morquio Ullrich
V Scheie
VI Maroteaux Lamy
lack of b- glucosidase resulting to the accumulation of glucocerebrosides in the spleen, liver and bone marrow
Gaucher’s disease
Gaucher cell cytoplasm is distended with glucocerebroside; spongelike appearance
Gaucher’s disease
deficiency of sphingomyelinase resulting to accumulation of sphingomyelin and cholesterol in the macrophages
Niemann Pick disease
accumulation in the spleen and BM of histrocytes filled with lipid- rich granules that stain blue green with polychrome stains
Sea blue histrocytes
s/s: hepatomegaly, thrombocytopenia
Sea blue histrocytes
lack of a-galactosidase resulting to accumulated glycolipid trihexosyl ceramide
Fab deae
deficiency of acid esterase resulting to accumulation of TG and cholesterol
Wolman Disease
Patient is unable to produce HDL, as a result, cholesterol esters accumulate
Tangier’s disease