RT Book, Section A1 MA, Lichtman A1 MS, Shafer A1 RE, Felgar A1 N, Wang SR Print(0) ID 1138037815 T1 Abnormal Erythroid Precursor Cells T2 Lichtman's Atlas of Hematology 2016 YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071602679 LK accessmedicine.mhmedical.com/content.aspx?aid=1138037815 RD 2024/04/23 AB Graphic Jump LocationView Full Size||Download Slide (.ppt)V.G.001Alcohol poisoning. Marrow cells of a patient with chronic and acute alcoholism. Note dyserythropoiesis. Small erythroblasts with scant cytoplasm. Large orthochromatic erythroblast with lobulated nucleus. Three large erythroblasts (one proerythroblast and two basophilic erythroblasts) with vacuoles characteristic (but not specific for) of acute alcoholism. The vacuoles usually occur in early erythroid cells as seen here and very occasionally in myeloid cells. They may be observed after abstinence for about 3 to 14 days, suggesting the vacuoles persist that long despite cell division and maturation. The vacuoles often appear to overlie the nucleus as well as the cytoplasm, but in electron micrographic studies, they form from endocytotic vesicles and are localized only to the cytoplasm.