Hematology

Blood Smear in B12 Deficiency Anemia: Morphology

Peripheral blood smear in suspected B12 deficiency anemia: normoblasts with dyserythropoiesis, Howell-Jolly bodies, and basophilic stippling of erythrocytes.

A patient from the hematology department. Complaints of weakness, lethargy, pallor of the skin, and loss of appetite. Suspected B12 deficiency anemia, possibly in combination with folate deficiency. Peripheral blood - reticulocytes 115 per mille. Hemoglobin 61g/L, erythrocytes 1.7 *10/12/L, thrombocytopenia, normocytes 22:100, with altered nuclear configuration, polychromasia of erythrocytes, multiple Howell-Jolly bodies, basophilic stippling of erythrocytes.

🙏 The publication was kindly provided by Ekaterina Nozdrina, Omsk.