Target Cell
(Codocyte)

Target cell 
Peripheral blood smear, Wright-Giemsa stain, 1000x

Description:

The red cell has a target appearance as a result of an area of hemoglobin staining in the center of the cell surrounded by a rim of palor. The cells are usually hypochromic and may have low, normal, or high MCV.

Pathobiology:

The abnormality is due to an increase in the membrane:red cell volume ratio, and may be due to membrane excess or a decrease in red cell volume.

Differential diagnosis:

  • Asplenia
  • Thalassemia
  • Hemoglobin C, D, E, H, and S diseases
  • Hemoglobin SC disease
  • Hemoglobin C, E, and S traits
  • Liver disease- macrotarget cells are more characteristic
  • Iron deficiency

 

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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