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Blood smear, a key diagnostic tool in hematology: Lessons from two cases of acute hemolysis in previously undiagnosed G6PD deficiency
Author(s) -
Veneri Dino,
Facchinelli Davide,
Vianello Alice,
Ambrosetti Achille,
Cantini Maurizio,
Olivieri Oliviero,
Dima Francesco,
De Franceschi Lucia
Publication year - 2016
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.24385
Subject(s) - medicine , hemolytic anemia , hemolysis , schistocyte , anemia , jaundice , hematology , emergency department , gastroenterology , pediatrics , immunology , thrombotic thrombocytopenic purpura , platelet , psychiatry
Image 1. Upper panels: Peripheral blood smears of case 1 (A) and 2 (B), showing marked anisopoikilocytosis, with formation of hemi-ghost blister cells (*) and presence of circulating erythroid precursors (insets). Lower panels: Respective values for hemoglobin (Hb), reticulocytes, platelets (PLTs), total white blood cell (WBC) count, bilirubin, lactate dehydrogenase (LDH), and creatinine levels during hospitalization. Black arrows indicate transfusion of packed red cells.