Page 132 - Clinical Hematology Atlas
P. 132

116    SECTION THREE  ERYTHROCYTES

                                   INCLUSIONS WITH SUPRAVITAL STAIN
                                       Stained with New Methylene Blue


















            A                                          B
                    FIGURE 12–5A  Reticulocytes.               FIGURE 12–5B  Heinz bodies.


            CELL:  Anuclear immature erythrocyte       CELL:  Mature erythrocyte
            COMPOSITION:  Precipitated RNA             COMPOSITION:  Precipitated hemoglobin
            NUMBER:  $2 per cell                       NUMBER:  Single or multiple, generally membrane-
            COLOR:  Dark blue                            bound
            Associated with:  Erythrocyte maturation   COLOR:  Dark blue to purple
            NOTE:  Supravital stains are taken up by living cells.  Associated with:  Unstable hemoglobin, some
                                                         hemoglobinopathies, some erythrocyte enzyme
                                                         deficiencies (e.g., glucose-6-phosphate
                                                         dehydrogenase)



















                 FIGURE 12–5C  Hemoglobin H. (From the American Society for Hematology slide bank.)


                 CELL:  Mature erythrocyte
                 COMPOSITION:  Hemoglobin b chains
                 NUMBER:  Multiple evenly dispersed granules described as “golf balls” or “raspberries”
                 COLOR:  Dark blue
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