Elliptocytes

 

  • Elliptocytes are also called pencil cells, cigar cells, and ovalocytes. They are elongated and rod-shaped, often with a central area of biconcavity and pallor, with hemoglobin concentrations at the ends of the cells.
  • They have normal osmotic fragility, except in hemolytic hereditary elliptocytosis when osmotic fragility is increased. They have abnormal membrane permeability.
  • Rouleaux formation is normal. These cells are the predominant cells in hereditary elliptocytosis.
  • Megaloblastic anemia is associated with abnormally large oval RBCs called macroovalocytes.

Clinical conditions :

  • Hereditary elliptocytosis
  • Iron deficiency anemia (IDA)
  • Myelophthisic anemia
  • Megaloblastic anemia
  • Thalassemia
  • Sideroblastic anemia
  • Congenital dyserythropoietic anemia
  • Anemia associated with leukemia
Elliptocytes

Elliptocytes

 

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