Table 1. Reference Guide for Grading Red Blood Cell Morphology (RBC-M) /hpf (100 × oil) [19].
RBCs description | Normal | Occasional/rare | Mild/slight +1 | Moderate +2 | Marked +3 |
---|---|---|---|---|---|
Microcyte | MCV 80 - 99 fL | MCV 70 - 79 fL (25% smaller than nucleus of small lymphocyte) | MCV 60 - 69 fL (26-49% smaller than nucleus of small lymphocyte) | MCV < 60 fL (≥ 50% smaller than nucleus of small lymphocyte) | |
Macrocyte | MCV 100 - 110 fL (25% larger than nucleus of small lymphocyte) | MCV 111 - 125 fL (26-49% larger than nucleus of small lymphocyte) | MCV > 125 fL (≥ 50% larger than nucleus of small lymphocyte) | ||
Hypochromasia | MCH 27 - 34 pg | < 5% but present | 5-15% (MCH 2 - 26 pg) | 16-40% (MCH 18 - 21 pg) | > 40% (MCH < 18 pg) |
Polychromasia | < 3% but present | 3-5% | 6-20% | > 20% | |
Target cells | < 5% but present | 5-10% | 11-25% | > 25% | |
Oval macrocytes | < 5% but present | 6-20% | 21-50% | > 50% | |
Anisocytosis | < 15% | 15-25% | 26-49% | 50-89% | |
Poikilocytosis | < 1% | 1-5% | 6-10% | > 10% |
MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin, fL: femtoliter; pg: pictogram.