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What is a Spherocyte?

Published in Blood Disorder 2 mins read

A spherocyte is a type of red blood cell (RBC) that, instead of having the normal biconcave disc shape, is spherical, or round, like a sphere.

Key Characteristics of Spherocytes

Spherocytes have distinct characteristics that make them different from healthy red blood cells:

  • Shape: As the name suggests, they are spherical rather than disk-shaped.
  • Fragility: Due to their abnormal shape, spherocytes are more fragile than normal red blood cells. This means they are prone to breaking down more easily.
  • Lifespan: They have a shorter lifespan compared to healthy RBCs.

Consequences of Spherocytosis

The fragility and shorter lifespan of spherocytes lead to several medical problems:

  • Anemia: The breakdown of these cells happens at an increased rate, leading to a deficiency of red blood cells, a condition known as anemia. In simple terms, the body doesn’t have enough healthy red blood cells.
  • Other Medical Issues: The premature destruction of red blood cells can cause other medical complications, such as jaundice (yellowing of the skin and eyes) due to the breakdown product of hemoglobin, bilirubin.

Comparison Table: Normal RBCs vs. Spherocytes

Feature Normal Red Blood Cell (RBC) Spherocyte
Shape Biconcave Disc Spherical
Fragility Less fragile More fragile
Lifespan Longer lifespan Shorter lifespan
Primary Purpose Oxygen transport Less efficient oxygen transport, more prone to breakdown

Understanding the Implications

The presence of spherocytes can be indicative of certain underlying conditions, such as:

  • Hereditary Spherocytosis: This is a genetic condition where red blood cells are prone to forming spherocytes.
  • Autoimmune Hemolytic Anemia: The immune system mistakenly attacks red blood cells and spherocytes can form as a result.
  • Other conditions: Spherocytes can be formed due to other medical conditions that causes RBC to be destroyed.

Diagnosis and Treatment

If spherocytes are suspected, further medical evaluations may be needed to understand the cause:

  • Blood Tests: Blood tests such as complete blood count and peripheral blood smear are used to identify spherocytes and their abundance.
  • Treatment: Treatment is tailored depending on the specific cause and severity of condition. Treatments such as folic acid supplement, blood transfusion, or removal of spleen.