Volumetric erythrocyte macrocytosis induced by hydroxyurea

An atypical form of macrocytosis termed volumetric macrocytosis is described. In contrast to the macrocyte associated with megaloblastic anemia and the pseudomacrocyte caused by viscoelastic defects, the volumetric macrocyte is characterized by an increased mean corpuscular volume and a normal cell...

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Veröffentlicht in:American journal of clinical pathology 1986-03, Vol.85 (3), p.337-341
Hauptverfasser: BURNS, E. R, REED, L. J, WENZ, B
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REED, L. J
WENZ, B
description An atypical form of macrocytosis termed volumetric macrocytosis is described. In contrast to the macrocyte associated with megaloblastic anemia and the pseudomacrocyte caused by viscoelastic defects, the volumetric macrocyte is characterized by an increased mean corpuscular volume and a normal cell diameter. The volumetric macrocyte proves to be thicker than the normocytic red blood cell. This large erythrocyte is overhydrated and contains an increased quantity of hemoglobin. The cell has many characteristics in common with the red blood cells of neonates. Volumetric macrocytosis accompanies sustained hydroxyurea therapy and may represent a drug-induced dyserythropoiesis.
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subjects Biological and medical sciences
Blood Viscosity - drug effects
Drug toxicity and drugs side effects treatment
Erythrocyte Deformability - drug effects
Erythrocyte Indices - drug effects
Erythrocytes, Abnormal - drug effects
Erythrocytes, Abnormal - ultrastructure
Humans
Hydroxyurea - adverse effects
Hydroxyurea - therapeutic use
Medical sciences
Microscopy, Electron, Scanning
Pharmacology. Drug treatments
Toxicity: blood
title Volumetric erythrocyte macrocytosis induced by hydroxyurea
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