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What Does Microcytosis, Aniso-poikilocytosis, Elliptocytes And Tear Drop Cells Mean?

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Posted on Tue, 2 Apr 2013
Question: The comments on my latest blood test results are as follows:
Neutrophils exhibit toxic changes. Mild microcytosis. Moderate aniso-poikilocytosis with target cells and elliptocytes. A rare tear drop cell noted. ?Iron status. Increased rouleaux formation.

Could you tell me what the significance of these results is? Thanks.
doctor
Answered by Dr. Hari Charan Perigela (3 hours later)
Hi
Microcytosis means the size of the red blood cells are small.
Anisocytosis means the red blood cells are of
different sizes and poikilocytosis means the red blood cells are of different shapes.
Target cells are seen in Liver disease,Haemoglobinopathies.
Elliptocytes are seen in Hereditary elliptocytosis.
Tear drop cells are seen in Myelofibrosis and myelophthisic states of bone marrow.
Rouleaux formation is een in conditions like Mutilple myeloma, a disease of bone marrow.
You have to go for a Bone marrow examination for correct diagnosis.
As all the above findings are non specific,bone marrow examination will confirm the diagnosis.
If you have any questions ,i will clarify further
Wish you good health
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hari Charan Perigela (46 minutes later)
Is there one disease/condition that could cause everything in the test results? If so, what? Could this all simply be caused by low iron levels? My haemaglobin is 103 (ref 115-155).
doctor
Answered by Dr. Hari Charan Perigela (34 minutes later)
Hi
Your haemoglobin is 103,which is near to the lower limit and cannot be considered as very abnormal.
All these results may fit into take Iron capsules orally and get your blood tested after few months.Hope all the abnormal cells will disappear.
If you come back with the results,i will clarify further.
Wish you good health
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Hari Charan Perigela (6 minutes later)
Thank you.
doctor
Answered by Dr. Hari Charan Perigela (6 minutes later)
Hi
You are welcome.
You can come back with your latest blood results in future for further clarification.
Please take Iron XXXXXXX foods.
Wish you speedy recovery
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2717 Questions

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What Does Microcytosis, Aniso-poikilocytosis, Elliptocytes And Tear Drop Cells Mean?

Hi
Microcytosis means the size of the red blood cells are small.
Anisocytosis means the red blood cells are of
different sizes and poikilocytosis means the red blood cells are of different shapes.
Target cells are seen in Liver disease,Haemoglobinopathies.
Elliptocytes are seen in Hereditary elliptocytosis.
Tear drop cells are seen in Myelofibrosis and myelophthisic states of bone marrow.
Rouleaux formation is een in conditions like Mutilple myeloma, a disease of bone marrow.
You have to go for a Bone marrow examination for correct diagnosis.
As all the above findings are non specific,bone marrow examination will confirm the diagnosis.
If you have any questions ,i will clarify further
Wish you good health
Regards