Recognising the Blood Cells
Dr A McLeod

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Recognising the cells

Erythrocyte
Erythrocyte (red cell)
  • 6-8 micrometres diameter, 2 micrometers thick
  • Biconcave shape with lighter-appearing cytoplasm centrally and (usually) no granules.
  • No nucleus
  • Common - approx 4-6 million / mm3 blood
See here for abnormal erythrocytes.

Platelets
Platelet
  • 2-3 micrometres
  • Gemmate from megakaryocytes - stain dark purple compared to lighter colour of erythrocytes (see pic left) with H&E / giemsa.
  • No nucleus
  • Common - approx 0.2 - 0.3 million / mm3 blood
  • Non phagocytic - involved in clotting
Megakaryocyte
  • Found within the bone marrow rather than the blood
  • Generate platelets.
Neutrophil Neutrophil
  • 12-15 micrometres
  • Granulocyte - small very faint pink granules under H&E
  • 2-5 lobed nucleus
  • In the nucleus of the neutrophil of cells from females, there may be an appendage like a little drumstick. This is the second (inactivated) X chromosome, known as the Barr body.
  • Common - approx 50-70% of leucocytes
  • Phagocytic cells
Basophil Basophil micrograph Basophil
  • 9-10 micrometres
  • Granulocyte - large granules staining blue/purple under H&E
  • 2-3 lobed nucleus - may be hard to see due to granules.
  • Rare - approx 0.5 - 1% of leucocytes
  • Non phagocytic - variety of roles through secretory mediators.
Eosinophil Eosiniphil Eosinophil
  • 12-15 micrometres
  • Granulocyte - large pink/red granules under H&E
  • 2 lobed nucleus usually but up to 4.
  • Uncommon - approx 2-4% of leucocytes
  • Non phagocytic. Degranulating to release toxic mediators, mostly in response to multicellular parrasites e.g. worms.
Lymphocyte cartoon
Lymphocyte

Lymphocyte (small)
  • 7-8 micrometres (note size in comparison to RBC)
  • Possible isolated bright violet granules - light blue cytoplasm.
  • Very large round or kidney shaped nucleus, usually located non-centrally.
  • Common - together with large lymphocytes, approx 20-40% of leucocytes
  • Most will be B or T cells. Indistinguishable with normal staining.

Lymphycyte (large)
  • 9-15 micrometres (note size in comparison to RBC)
  • Possible isolated bright violet granules - plentiful transparent to light blue cytoplasm.
  • Oval/bulging nucleus, somewhat looser chromatin structure than the small lymphocyte. Eccentrically placed.
  • Common - together with small lymphocytes, approx 20-40% of leucocytes
  • Most will be Natural Killer (NK cells). There are other subtypes not distinguishable with normal staining.

Monocytes
  • 16-20 micrometres
  • No apparent granules - transparent cytoplasm with 'ground glass' appearance
  • 'Horseshoe' shaped nucleus, occasionally bi-lobed.
  • Uncommon - approx 3-8% of leucocytes
  • Differentiate into Macrophages or dendritic cells.
Macrophages
  • Usually found in the tissue rather than in the blood
  • Phagocytic
  • Will be covered in more detail




References
Abnormal red blood cells
Cell morphology


Updated March 2010

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