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ASH Image Bank (2004); doi:10.1182/ashimagebank-2004-101268
Copyright © 2004 by the American Society of Hematology.
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Atlas Image Set

Hereditary Elliptocytosis

John Lazarchick



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Figure 1. An 8 year old male who was being evaluated for an upper respiratory infection was noted to be mildly anemic on his CBC. A peripheral blood smear at low magnification shows that the vast majority of the RBCs to have an elliptical shape. A minor population of normal shaped RBCs can be seen scattered throughout the smear.

 


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Figure 2. At a higher magnification, the predominance of the elliptical shaped RBCs is even more apparent. In addition a few RBCs with irregularities of their cytoplasmic borders or with cytoplasmic protrustions can be seem.

 


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Figure 3. The typical morphology of RBCs seen in hereditary elliptocytosis are shown in this view. Some of these cells exhibit a classical elongated cigar shape.

 


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Figure 4. Helmet-like cells and other RBCs with cytoplasmic projections are noted in this view. An RBC with basophilic stippling is also illustrated (arrow).

 


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Figure 5. In this view acanthocytes are also present (RBCs with multiple cytoplasmic projections of variable length and thickness).

 

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Related ASH-SAP Chapter:space logo
Chapter 6: Hemolytic anemias

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Right arrow Articles by Lazarchick, J.
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Right arrowRelated ASH Education Book Article
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Copyright © 2004 by the American Society of Hematology.