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Blood/Blood Cells and Cellular Components ›› Red Blood Cells ›› Abnormal

Schistocyte: Fragmented RBC

Schistocyte: Fragmented RBC
Schistocyte: Fragmented RBC
Schistocyte: Fragmented RBC
Additional Image 1: Schistocyte: Fragmented RBC
Additional image 1: Schistocyte: Fragmented RBC
Additional Image 2: Schistocyte: Fragmented RBC
Additional image 2: Schistocyte: Fragmented RBC

Microscopic Features:

  • Usually smaller than a normal RBC
  • Different RBC fragment variants (helmet cell, irregular fragments, etc.)
  • Usually lacks a central pallor

Normal % blood-PB, marrow-BM, lymphoid tissue-LN:

  • PB: Rare to None
  • BM: Rare to None
  • LN: Rare to None

May Resemble:

Differential Diagnoses:

Increased in:
Microangiopathic Hemolytic Anemia (e.g. as seen in DIC, TTP, or HUS)
Severe burns
Mechanical valve-induced
Uremia
Malignant hypertension

Classic Immunophenotype:

  • N/A

Cartoon Image:

Schistocyte: Fragmented RBC cartoon
Click and dragRed blood cell for scalefor direct comparison

Misc:

Usually associated with an intravascular hemolytic process (as opposed to spherocytes which are usually associated with an extravascular hemolytic process)