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ASH Image Bank (2004); doi:10.1182/ashimagebank-2004-101135
Copyright © 2004 by the American Society of Hematology.
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Atlas Image Set

Refractory Anemia with Ring Sideroblasts

Peter Maslak



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Figure 1. Bone marrow aspirate is hypercellular with erythroid hyperplasia and prominent dyserythropoiesis.

 


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Figure 2. Nuclear-cytoplasmic asynchrony is characteristic of dysplastic erythroid elements.

 


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Figure 3. Prussian blue stain is used to identify ring sideroblasts.

 


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Figure 4. Iron may be distributed in the mitochondria in a typical "necklace" pattern around the nucleus or as large clusters within the cytoplasm.

 


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Figure 5. Ring sideroblasts are formed by abnormal deposition of iron in the mitochondria surrounding the nucleus of red cell precursors.

 


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Figure 6. Sideroblasts constitute greater than 15% of the erythroblasts.

 


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Figure 7. RARS accounts for approximately 15%-20% of the myelodysplastic syndromes.

 

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Related ASH-SAP Chapter:space logo
Chapter 9: Myelodysplastic syndrome and overlap syndromes

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Copyright © 2004 by the American Society of Hematology.