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RBCs inclusions after splenectomy: not only Howell-Jolly bodies!

RBCs inclusions after splenectomy: not only Howell-Jolly bodies!

Annales de Biologie Clinique 71(2): 185-189

We report on several abnormalities of the red blood cells, in particular erythrocytic inclusions, in a 49 year old man. The blood smear presented with marked anisocytosis, target cells, acanthocytes and Howell-Jolly bodies, as well as Pappenheimer bodies and basophilic stippling. These abnormalities can be explained by the clinical context which associated splenectomy, iron overload and severe denutrition. The patient died a few weeks after from kidney and liver insufficiency. We comment on the different features of erythrocytic inclusions and the clinical situations in which they can be found.

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Accession: 055333614

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PMID: 23587584

DOI: 10.1684/abc.2013.0798

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