Teardrop-shaped red cells in autoimmune hemolytic anemia.

Abstract:

:The presence of teardrop-shaped red cells in peripheral blood has traditionally been felt to reflect altered marrow architecture, namely myelofibrosis. We evaluated two patients with splenomegaly, moderately severe hemolytic anemia due to warm-reactive IgG anti-red cell autoantibody, and bone marrow erythroid hyperplasia without myelofibrosis. A striking predominance of teardrop-shaped red cells was noted upon examination of their blood films. Removal of a spleen containing extramedullary hematopoiesis in one and resolution of splenomegaly in the other were accompanied by disappearance of these cells. Our observations support a role for the spleen and for extramedullary hematopoiesis in the pathogenesis of this distinctive red cell morphologic abnormality.

journal_name

Am J Hematol

authors

Farolino DL,Rustagi PK,Currie MS,Doeblin TD,Logue GL

doi

10.1002/ajh.2830210410

subject

Has Abstract

pub_date

1986-04-01 00:00:00

pages

415-8

issue

4

eissn

0361-8609

issn

1096-8652

journal_volume

21

pub_type

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