Refers to the Variation of RBC size
Anisocytosis
Assess anisocytosis. Increased in heterogenous population of cells. It is the coefficient of variation of RBC volume expressed as percentage
♥ Computed by dividing the SD by the mean of the RBC size distribution
RDW distribution
Formula of RDW
Sd/ mean x 100
Normocytic RBC composition
Normal RBc size 6-8 um
Nomal MCV 80-100
Microcytic RBC component
Less than < 6 um in size
Less than 80 fl MCV
Microcytic RBc
Larger than 9um in size
Greater than 100 fl in MC
Refers to the Variation in hemoglobin content
Anisochromia
Normochromic composition
Normal amount of hemoglobin
Normal RBC have central pallor
MCHC= 32-36 %
Hypochromic composition
Central pallor area exceeds at 1/3 diameter of the cell
Decrease MCHC < 32 %
Hyper chronic/ spherocyte composition
No central pallor
Increase MCHC
Spherocytosis
Polychromatic/ Reticulocyte sis / polychromatophilia composition
Immature young RBC
Blue green discoloration
Increase erythropoeitic activity
Refers to the variation of RBC cell shape
Poiklocytosis
Other names for a Acanthocyte
Spur cells
Thorn cells
Spheroid with 3-12 irregular spikes/ spicules
Abnormal ratios of membrane lecithin and sphingomyelins
Acanthocytes
Spur cells
Thorn cells