Spur cell RBC (Acanthocyte)
- May be smaller or the size of a normal RBC
- Irregular narrow-base sharp projections of red cell membrane (looking like cowboy boot spurs)
Increased in:
- End stage Liver disease (Cirrhosis)
- Abetalipoproteinemia
- McLeod or Lu blood group phenotype
- Post-splenectomy
- Microangiopathic Hemolytic Anemia (as seen in DIC, TTP and HUS)
- Artifact