RT Book, Section A1 MA, Lichtman A1 MS, Shafer A1 RE, Felgar A1 N, Wang SR Print(0) ID 1138037119 T1 Red Cell Alterations in Non-Clonal Hematological Disorders T2 Lichtman's Atlas of Hematology 2016 YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071602679 LK hemonc.mhmedical.com/content.aspx?aid=1138037119 RD 2024/04/24 AB Graphic Jump LocationView Full Size||Download Slide (.ppt)I.C.001Abetalipoproteinemia. Blood film. Patients with this inherited absence of products of the apolipoprotein B gene characteristically have over 50% acanthocytes, red cells with irregular, sharp projections, in the blood. The red cell membrane abnormality is thought to reflect an excess of sphingomyelin in the outer leaflet of the membrane lipid bilayer, leading to excess surface area and sharp, irregular, spike like folds in the red cell surface. Erythroblasts do not display the abnormality and circulating cells develop it as they age in the circulation.