Reticulocyte
(Polychromatophilic Red Cell)

Reticulocyte
Peripheral blood smear, Wright-Giemsa, 1000x

Description:

A macrocytic red cell recently released from the bone marrow (young red cell) that has a grey-blue color and absent central palor.

Pathobiology:

The grey-blue color is due to residual ribosomal material in the cytoplasm.

Differential diagnosis:

  • Normal peripheral blood smear (small numbers)
  • Increased rate of red cell production
    • Hemolytic anemias
    • Bone marrow recovery from toxic insults (chemotherapy), deficiency states (iron, Vitamin B-12 or folate), and recent hemorrage
    • Erythropoietin therapy
  • Hypoxia

 

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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