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Image Based Question-65443

Question

Identify the cells as marked by a “black arrow” in the blood smear of a patient given below who is suffering from Alcoholic liver disease?

A. Codocytes.

B. Target cells.

C. Stomatocytes.

D. Helmet cells.

 

Show Answer

Correct Answer » C

Explanation

Ans: C. Stomatocytes.

The cells shown by a black arrow in the blood smear of a patient given above represents Stomatocytes.

Stomatocytes are erythrocytes with a slit-like central pallor, giving them the appearance of “coffee beans” or “kissing lips.”

In three dimensions, the stomatocyte is actually of the shape of a bowl, as the cell has lost its biconcave morphology due to a membrane defect.

Found in cases of :

Hereditary stomatocytosis 

Several rare inherited defects affecting membrane lipid composition have been reported to have stomatocytosis on the peripheral blood smear.

  • Tangier’s disease
  • Rh null disease
  • Phytosterolemia

Liver disease/medications

  • Alcoholic Liver Disease.
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