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Poikilocytosis
| Field | Value |
|---|---|
| name | Poikilocytosis |
| image | Poikilocytes - Red blood cell types.jpg |
| caption | Examples of red blood cell types that can give rise to poikilocytosis. |
| Poikilocytosis is variation in the shapes of red blood cells. Poikilocytes may be oval, teardrop-shaped, sickle-shaped or irregularly contracted.
Normal red blood cells are round, flattened disks that are thinner in the middle than at the edges. A poikilocyte is an abnormally-shaped red blood cell. Generally, poikilocytosis can refer to an increase in abnormal red blood cells of any shape, where they make up 10% or more of the total population of red blood cells.
Types

Membrane abnormalities
- Acanthocytes or Spur/Spike cells
- Codocytes or Target cells
- Echinocytes and Burr cells
- Elliptocytes and Ovalocytes
- Spherocytes
- Stomatocytes or Mouth cells
- Drepanocytes or Sickle Cells
- Degmacytes or "bite cells"
Trauma
- Dacrocytes or Teardrop Cells
- Keratocytes
- Microspherocytes and Pyropoikilocytes
- Schistocytes
- Semilunar bodies
Diagnosis
Poikilocytosis may be diagnosed with a test called a blood smear. During a blood smear, a medical technologist/clinical lab scientist spreads a thin layer of blood on a microscope slide and stains the blood to help differentiate the cells. The technologist/clinical lab scientist then views the blood under a microscope, where the sizes and shapes of the red blood cells can be seen.
Treatment
In all cases, the treatment of poikilocytosis depends on its cause. For example, poikilocytosis can be caused by a vitamin deficiency (e.g. vitamin B12, folic acid), in which case the treatment is to replenish the deficient vitamin. It can be caused by a digestive disease, such as celiac disease, in which case the solution may lie in treating the underlying celiac disease so that nutrients can be properly absorbed.
Etymology
The term derives from poikilos (ποικίλος), which means "varied" in Greek.
References
References
- Barbara J. Bain. (2006). "Blood cells: a practical guide". Wiley-Blackwell.
- Ford, J.. (June 2013). "Red blood cell morphology". International Journal of Laboratory Hematology.
- {{in lang
- "poikilo-". Wiktionary.
This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.
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