Elliptocyte
(Ovalocyte)

Elliptocytosis 50x  
Peripheral blood smear, Wright-Giemsa stain, 500x

Description:

Oval to pencil-shaped red cell with central palor and polarization of the hemoglobin.

Pathobiology:

Due to abnormalities of the skeletal red cell membrane proteins.

Differential Diagnosis:

  • Hereditary elliptocytosis (ovalocytosis)
  • Iron deficiency anemia- numbers small with hypochromia (pencil cell)
  • Thalassemia (numbers small)
  • Dyserythropoiesis of whatever cause (numbers small)
  • Megaloblastic anemias (numbers small)
  • Myelopthisic anemias (numbers small)

 

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Charles  E.  Hess,  M.D.,FACP
Professor of Internal Medicine
Department of Medicine
Division of Hematology/Oncology

  M.D. Degree: University of Virginia, 1959
  Residency: Internal Medicine, University of Virginia
  Fellowship: Hematology, University of Virginia
  Certification: Internal Medicine
Hematology
  Research Interests: Hematologic malignancies, splenomegaly
  Department Web Site: http://www.healthsystem.vir
ginia.edu/internet/internal/
  Phone: (434) 924-2572