September-October 2019, Volume 16, Issue 5
Spur Cell Anemia
Published on: July 24, 2019
A 42-year-old white man presented with jaundice and generalized edema. He had been diagnosed with alcoholic cirrhosis four months prior. Laboratory evaluation is summarized in the Table. Abdominal ultrasound revealed a nodular liver and splenomegaly of 15.6 cm in craniocaudal dimension. Peripheral blood smear (panel A) revealed spur cells (acanthocytes, arrows). Hospital course was complicated by hematemesis and acute kidney injury requiring dialysis.