› Normal % blood-PB, marrow-BM, lymphoid tissue-LN:
PB: Rare to None
BM: Rare to None
LN: Rare to None
› May Resemble:
Normal Mature RBC
Macrocytic RBC
Hemoglobin C crystals
› Differential Diagnoses:
Increased in: Thalassemia Hemoglobinopathies (C, SC, or E disease) Post-splenectomy Liver disease Artifact of slow drying of blood smear Iron deficiency anemia (sometimes)
› Classic Immunophenotype:
N/A
› Cartoon Image:
Click and drag
for direct comparison
› Misc:
Increased surface membrane to volume ratio gives rise to a central darker hemoglobinized region within the area of central pallor