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What does tear drop cells in CBC report indicate?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I just saw your pin about tear drop cells. I am trying to understand the meaning of this. Recently my four years old son had a CBC and the RBC was abnormal, he has tear drop cells 1+, schistocytes 1+, crenated cells 1+, stomatocytes 1+, schistocytes 1+, macrocytic 1+, microcytic 1+, poikilocytosis 1+, anisocytosis 1+.

Please help me to understand this.

Thank you.

Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concerns.

The presence of crenated red blood cells, schistocytes, tear-drop cells, and stomatocytes is suggestive of hemolytic anemia. The G6PD deficiency, spherocytosis, and immune hemolytic anemia are some of the causes for that.

Microcytes and macrocytes could be due to anemia. It is called dimorphic anemia, which might be due to iron or B12 deficiency. I suggest you investigate further with a full CBC (complete blood count), reticulocyte count, serum LDH (Lactate dehydrogenase) estimation, and DCT (Direct coombs test) for primary workup. You can consult a nearby pediatrician for a detailed evaluation.

I hope this is clear, and if you have any questions, do not hesitate to ask.

Do follow up whenever needed.

Let me know if I can assist you further.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At August 3, 2019
Reviewed At July 13, 2026

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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