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Am J Hematol ; 21(4): 415-8, 1986 Apr.
Article in English | MEDLINE | ID: mdl-3953560

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.


Subject(s)
Anemia, Hemolytic, Autoimmune/blood , Erythrocytes, Abnormal/pathology , Spleen/physiopathology , Anemia, Hemolytic, Autoimmune/diagnosis , Anemia, Hemolytic, Autoimmune/physiopathology , Bone Marrow/pathology , Diagnosis, Differential , Female , Hematopoiesis , Humans , Male , Middle Aged , Primary Myelofibrosis/diagnosis , Spleen/pathology , Splenectomy
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