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Basophilic stippling

1864

Also known as punctate basophilia.

Refers to the presence of numerous basophilic granules that are dispersed through the cytoplasm of erythrocytes in a peripheral blood smear.

Demonstrated to be RNA.

Composed of aggregates of ribosomes, although degenerating mitochondria and siderosomes may be included in the aggregates.

In contrast to Pappenheimer bodies, there is no iron in basophilic stippling.

It is an indication of disturbed erythropoiesis.

It can also be found in some normal individuals.

It is associated with:

Thalassemia[2] (β-thalassemia Minor (i.e Trait) & Major, and α-thalassemia

Severe megaloblastic anemia

Hemolytic anemia

Sickle-cell anemia

Pyrimidine 5′ nucleotidase deficiency

Alcoholism

Myelodysplastic syndromes

Sideroblastic anemia

Congenital dyserythropoietic anemia

Primary myelofibrosis

Leukemia

Erythroleukemia

Hemorrhage

Unstable hemoglobins

Altered hemoglobin biosynthesis

Heavy metal poisoning

Lead poisoning

Zinc

Arsenic

Silver

Mercury

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