Aug

23

2021

Target Cells

By William Aird

Multiple target cells (some examples are shown with an arrow) in a 56-year-old woman with cirrhosis. Target cells have the appearance of a bull’s eye with dark central zone of hemoglobin surrounded by relative pallor and then a peripheral rim of hemoglobin (50x).

Multiple target cells (some examples are shown with an arrow) in a 56-year-old woman with cirrhosis (100x, oil).
ParameterProperties
Red cell shape abnormalityTarget cell
Also known asCodocyte (from the Greek term for “hat”)
DefinitionCentrally located disk of hemoglobin surrounded by an area of pallor with an outer rim of hemoglobin adjacent to the cell membrane giving the cell the appearance of a bull’s eye or shooting.
Conditions associated with the shape abnormalitySeen in liver disease (macrocytic targets), iron deficiency anemia, thalassemia (microcytic target cells). Target cells may also be seen in  hemoglobin C and E disease, and following splenectomy.
Mechanism of formationExcess of cell membrane relative to cell volume
Source/AuthorWilliam Aird
Reviewed and edited byParul Bhargava