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Elliptocytes/Pencil cells

Elliptocytes/Pencil cells
#00066392
Author: Sumitha Baskaran; Madhura Jogwar; Metropolis healthcare limited
Category: Laboratory Hematology > Basic cell morphology >  Red Blood Cell shape abnormalities > Elliptocytes
Published Date: 04/16/2026

Peripheral blood smear (Leishman stain, ×1000 oil immersion) from a 45-year-old female presenting with bleeding per vaginum, showing marked microcytosis and hypochromia with prominent anisopoikilocytosis. Numerous elliptocytes/pencil cells are seen, consistent with iron deficiency anemia secondary to chronic blood loss.

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