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ASH Image Bank (2009); doi:10.1182/ashimagebank-2009-9-00042
Copyright © 2009 by the American Society of Hematology.
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Atlas Image Set

RBC morphology in thalassemia

John Lazarchick, M.D.


Figure 1
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Figure 1. Peripheral smear from a child with hemoglobin of 7.5 g/dl, RBC of 5.9 x 106/ul and an MCV of 47 fL consistent with a diagnosis of thalassemia. The marked RBC microcytosis and hypochromia are evident. The child had received an RBC transfusion prior to smear being performed accounting for the dual population of RBCs. A spherocyte (arrow) is present on the smear and is of donor origin.

 

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Figure 2. A hypochromic polychromatophilic RBC (arrow) is shown in addition to the RBC abnormalities already mentioned.

 

Figure 3
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Figure 3. A more typical polychromatophilic RBC is seen in the right upper portion of the image. Occasional target cells are also noted.

 

Figure 4
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Figure 4. The dimorphic population of the RBCs following the transfusion in this patient.

 

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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 arrow Hemolytic Disorders
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Right arrowRelated ASH Education Book Articles
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Copyright © 2009 by the American Society of Hematology.