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RBCs with multiple, irregular spaced projections are known as:

A) Acanthocytes

B) Crenated cells

C) Anisocytes

D) Schistocytes

1 Answer

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Final answer:

The correct answer to the question is A) Acanthocytes, which are red blood cells with multiple, irregularly spaced projections. Unlike the crescent-shaped cells found in sickle cell anemia, acanthocytes have spiky appearances, and their morphology is important for clinical diagnoses of blood disorders.

Step-by-step explanation:

The correct answer to the question is: A) Acanthocytes.

Acanthocytes are red blood cells (RBCs) that display multiple, irregularly spaced projections on their surface. These projections are not uniform in length or distribution and give the cells a spiky appearance. In comparison to other abnormal RBC shapes, acanthocytes differ from schistocytes, which are fragmented cells, crenated cells, which typically exhibit uniform spiking often due to changes in osmotic balance, and anisocytes, which are RBCs with size variations, also referred to as anisocytosis. Unlike the cells found in sickle cell anemia, which are crescent-shaped due to the abnormal hemoglobin that causes the cells to elongate and curve, acanthocytes have a characteristic spiny form.

A basic understanding of RBC morphology and its clinical significance is essential for diagnosing various types of anemia and other blood disorders. Clinicians often use morphology to categorize various anemias, with tests like mean corpuscle volume (MCV) measuring RBC size, helping to diagnose conditions where RBCs take on abnormal shapes. In the context of oxygen transport, abnormal RBC shapes can compromise their functionality, resulting in decreased oxygen delivery to tissues and subsequent symptoms such as fatigue, shortness of breath, and increased risk for infections.

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