H. Xerocytosis Features
Defect:
Increased membrane permeability to K
+
Component deficiency unknown
Clinical features:
Loss of K
+
exceeds Na
+
influx
Lab features:
stomatocytes
Target cells
Decreased osmotic fragility
Cells dehydrate or shrivel up
Mild to moderate hemolytic anemia
Increased autohemolysis test uncorrected with glucose
Spiculated red cells
macrocytes
Inheritance:
Elevated MCHC
Rare autosomal dominant