RBC Abnormalities: Inclusions Flashcards
Nuclear fragments (DNA)
Seen in:
Feulgen Reactions
Megaloblastic Anemia
Howell-Jowell Bodies
Deep blue to purple granules
Aggregation of ribosome
Basophilic stipplings
Seen in Lead and Arsenic Poisoning
Pyrimidine-5-deficiency
Basophilic Stippling
Stippling most commonly seen in INCREASED POLYCHTOMATOPHILIA and therefore increased RBC production
Fine stippling
Stippling seen in LEAD POISONING and impaired Hgb synthesis, megaloblastic anemia
Coarse stippling
Thin ring structure
mitotic spindle
Seen in DYSERYTHROPOIESIS
Cabot rings
Consist of Denatured Globin
Pitted out by the spleen
Heinz Bodies
Seen in G6PD Deficiency
Unstable Hgb (Zurich, Koln)
Oxidant Drugs
Splenectomized patients
Heinz Bodies
Multiple Heinz bodies may give cell appearance of
PITTED GOLF BALL
Result of Splenic spitting of Heinz Bodies
Bite and Blister Cell
Seen in patient with PRECIPITATE OF B-chains of Hgb stained with Brillian Cresyl Blue
Hgb H Bodies
Seen in alpha thalassemia patient with Moderate Hemolytic Anemia
Hgb H disease
Gold bar or Washington monument
Homozygous C Disease
Hemoglobin C Crystals
Hb AC Trait
a. with crystals
b. w/o crystals
w/o crystals
Crystal with Glove or Pistol appearance
Washington monument
Hemoglobin SC crystals