title: [RBCs inclusions after splenectomy: not only Howell-Jolly bodies!].
abstract: We report on several abnormalities of the red blood cells, in particular erythrocytic inclusions, in a 49 year old man. The blood smear presented with marked anisocytosis, target cells, acanthocytes and Howell-Jolly bodies, as well as Pappenheimer bodies and basophilic stippling. These abnormalities can be explained by the clinical context which associated splenectomy, iron overload and severe denutrition. The patient died a few weeks after from kidney and liver insufficiency. We comment on the different features of erythrocytic inclusions and the clinical situations in which they can be found.
authors.affiliation: Service d'hématologie biologique, Pôle laboratoires, CHU de Nancy, France.
authors.forename: Morgane
authors.initials: M
authors.lastname: Solis
authors.forename: Julien
authors.initials: J
authors.lastname: Perrin
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Guédenet
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Lesesve
mesh_terms: D004908:Erythrocyte Inclusions / Q000473:pathology*; D004913:Erythrocytes, Abnormal / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000097:blood / Q000473:pathology; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis* / Q000473:pathology; D011184:Postoperative Period; D013156:Splenectomy / Q000009:adverse effects*
keywords: Howell-Jolly bodies; Pappenheimer bodies; basophilic stippling; erythrocytic inclusions; splenectomy