Peripheral blood: normochromic macrocytic anemia, often pancytopenia, significant anisocytosis, poikilocytosis, polychromasia is absent, neutrophilic hypersegmentation, Howell-Jolly
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- Many nucleated RBCs may be seen resulting in leucoerythroblastic reaction - Howell Jolly bodies and Cabot’s rings may be seen.
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Erythropoeisis• Usually megaloblastic erythropoeisis• Feature of dyserthropoiesis• Some precursors may show Howell Jolly bodies• Vacoulization, basophilia and poor hemoglobinisation
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