Erythrocyte Disorders: Smear Case 7: Schistocytes, Bite Cells, and Teardrop Forms

Question

A 5-year-old girl was brought to a physician's office because of fever and viral-type illness symptoms. Her blood pressure was elevated.

Hemogram: hemoglobin 9.1g/dL (normal 12.0 - 16.0 g/dL), hematocrit 28% (normal 37 - 48%), MCV 80 fl (normal 86 - 98 fl), RDW 13.1% (normal 11 - 15%), platelets 90.1 X 109/L (normal 150 - 450 X 109/L) WBC 9.6x109/L (normal 4.3 - 10.8 x 109/L).

The peripheral blood smear is represented in the photograph.
Which of the following are the most likely associated conditions?

More than one answer is correct. Please select all correct answers

Hereditary spherocytosis

Thrombotic thrombocytopenic purpura (TTP)

Hemolytic uremic syndrome (HUS)

Earn ASCLS P.A.C.E.® credits for your AMT, ASCP, or NCA recertification requirements.

Red Cell Disorders: Peripheral Blood Clues to Nonneoplastic Conditions course details »

Learn more about medical technologist continuing education for MTs, MLTs, and other lab personnel »

Get information on laboratory compliance training for clinical and medical laboratories »