Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells

Background Thrombotic microangiopathy encompasses a wide range of conditions, of which thrombotic thrombocytopenic purpura being a medical emergency requires prompt intervention, with schistocytes being a reliable morphological indicator of microvascular injury. However, there are conditi...

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Main Authors: Chethana Mannem, Tuba Saher, Gayathri Bilagali Ramdas
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-09-01
Series:Journal of Laboratory Physicians
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764481
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author Chethana Mannem
Tuba Saher
Gayathri Bilagali Ramdas
author_facet Chethana Mannem
Tuba Saher
Gayathri Bilagali Ramdas
author_sort Chethana Mannem
collection DOAJ
description Background Thrombotic microangiopathy encompasses a wide range of conditions, of which thrombotic thrombocytopenic purpura being a medical emergency requires prompt intervention, with schistocytes being a reliable morphological indicator of microvascular injury. However, there are conditions other than thrombotic microangiopathic anemia where schistocytes can be seen in large numbers. These nonthrombotic microangiopathic conditions are broadly grouped under cytoskeletal abnormalities, mechanical damage, and thermal injuries. Automated methods in schistocyte evaluation have shown varied reproducibility requiring manual identification. International Council for Standardization in Hematology (ICSH) recommends standardized morphological criteria and quantitative assessment as a percentage after counting at least 1,000 red blood cells in optimal areas of smear to reduce interobserver variability.
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spelling doaj.art-505e84e660d14cd6854b69b274aae5062023-08-03T23:21:12ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262023-09-01150343744210.1055/s-0043-1764481Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood CellsChethana Mannem0Tuba Saher1Gayathri Bilagali Ramdas2Department of Pathology, Kempegowda Institute of Medical Sciences (Affiliated to Rajiv Gandhi University of Health Sciences), Bangalore, Karnataka, IndiaDepartment of Pathology, Kempegowda Institute of Medical Sciences (Affiliated to Rajiv Gandhi University of Health Sciences), Bangalore, Karnataka, IndiaDepartment of Pathology, Kempegowda Institute of Medical Sciences (Affiliated to Rajiv Gandhi University of Health Sciences), Bangalore, Karnataka, India Background Thrombotic microangiopathy encompasses a wide range of conditions, of which thrombotic thrombocytopenic purpura being a medical emergency requires prompt intervention, with schistocytes being a reliable morphological indicator of microvascular injury. However, there are conditions other than thrombotic microangiopathic anemia where schistocytes can be seen in large numbers. These nonthrombotic microangiopathic conditions are broadly grouped under cytoskeletal abnormalities, mechanical damage, and thermal injuries. Automated methods in schistocyte evaluation have shown varied reproducibility requiring manual identification. International Council for Standardization in Hematology (ICSH) recommends standardized morphological criteria and quantitative assessment as a percentage after counting at least 1,000 red blood cells in optimal areas of smear to reduce interobserver variability.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764481ICSHschistocytesthrombotic microangiopathythromboticthrombocytopenic purpura
spellingShingle Chethana Mannem
Tuba Saher
Gayathri Bilagali Ramdas
Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells
Journal of Laboratory Physicians
ICSH
schistocytes
thrombotic microangiopathy
thrombotic
thrombocytopenic purpura
title Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells
title_full Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells
title_fullStr Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells
title_full_unstemmed Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells
title_short Traversing Their Path to the Peripheral Smear: The Journey of Traumatized Red Blood Cells
title_sort traversing their path to the peripheral smear the journey of traumatized red blood cells
topic ICSH
schistocytes
thrombotic microangiopathy
thrombotic
thrombocytopenic purpura
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764481
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