The CBC of a patient with microangiopathic hemolytic anemia (MAHA) demonstrates a markedly increased RDW (red cell distribution width) due to the marked variation in size and shape ...
There are numerous fragmented RBC’s seen here. Some of the irregular shapes appear as “helmet” cells. Such fragmented RBC’s are known as “schistocytes” ...
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 ...
There are numerous fragmented RBC’s seen here. Some of the irregular shapes appear as “helmet” cells. Such fragmented RBC’s are known as “schistocytes” ...