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Practical of Clinical Hematology
Mechanisms of Abnormal cell formation Lab 2
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Target Cells Target cells appear in the peripheral smear as a bull’s eye–shaped cell. They are seen in the peripheral blood due to three mechanisms: (a) as an artifact (b) due to decreased volume because of loss of hemoglobin (c) due to increased red cell surface membrane
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As cholesterol increases in the plasma, the red cell surface expands, resulting in increased surface area.
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Spherocytes Spherocytes are a distinctive morphology and are recognized as dense, small, round red cells lacking central pallor. Spherocytes, however, result from four mechanisms: Hereditary Spherocytosis. Autoimmune hemolytic anemia. Thermal damage. Natural red cell death.
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Heinz body Heinz body inclusions are large inclusions that are rigid, distort the cell, and hang on the cell periphery . These inclusions are formed from denatured or precipitated hemoglobin that occurs in the G6PD-deficient individual on exposure to the oxidizing agent, because the lack of the G6PD enzyme causes oxidative destruction of the red cell
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As the inclusion-laden red cells pass through the spleen, the Heinz bodies are pitted from the cell surface and what remains are bite or helmet cells.
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