RBC Morphology Flashcards
Anisocytosis
Abnormal variation of RBC size or volume
Anisocytosis related disorders
Hemolytic anemia
Megaloblastic anemia
Fe deficiency anemias
Macrocyte
Large RBCs; > 8 mm diameter; > 100 fL
Macrocyte related disorders
Megaloblastic anemia
Myelodysplastic syndrome
Chronic liver disease
BM failure
Reticulocytosis
Microcyte
Small RBCs; <6 um; MCV < 8 fL
Microcyte related disorders
Fe deficiency anemia
Anemia of chronic inflammation
Sideroblastic anemia
Thalassemia / Hb E disease and trait
Poikilocytosis
Abnormal variation in RBC shape.
Poikilocytosis related disorder
Severe anemia
Spherocyte
Elliptical or oval shaped RBC
Elliptocyte related disorders
Hereditary elliptocytosis/ovalocytosis
Fe deficiency anemia
Thalassemia
Myelophthisic anemias
Stomatocyte
RBC central pallor resembles a mouth; slit-like area
Stomatocyte related disorders
Hereditary or acquired stomatocytosis (acquired: liver disease, alcoholism)
Rh deficiency syndrome
Artifact
Codocyte
RBC resembling a target
Hgb conc in the center and around the periphery
Codocyte related disorders
Liver disease
Hemoglobinopathies
Thalassemia
Keratocyte
RBC fragment that resembles a helmet
Keratocyte related disorders
Micro or macroangiopathic hemolytic anemia
Extensive burns
Acanthocyte
Small, dense RBCs w/uneven spikes on the surface
Spikes vary in length and are irregularly spaced
AKA Spur Cells
Acanthocyte related disorders
Severe liver disease
Spur cell anemia
Neuroacanthocytosis
Abetalipoproteinemia
McLeod syndrome
Echinocyte
RBCs with even spikes on their surface
Spikes are blunt or pointed and evenly spaced
Typically present on all fields of a blood film
AKA Burr Cells
Echinocyte related disorders
Uremia
Pyruvate kinase deficiency
Dacrocyte
Teardrop or pear shaped RBC
Single pointed extension
Dacrocyte related disorders
Primary myelofibrosis
Myelophthisic anemia
Thalassemia
Megaloblastic anemia
Schistocyte
RBC fragments
Rupture in peripheral circulation
Schistocyte related disorders
Micro or macroangiopathic hemolytic anemia
Extensive burns
Sickle cell
Thin, dense, elongated RBCs that taper to a point or curve at the ends.
Sickle cell related disorders
Sickle cell anemia
Sickle cell beta thalassemia
Rouleaux
Stacking of RBCs
Stack of coins
Rouleaux related disorders
Hyperfibrinogenemia
Hyperglobulinemia