Sea Blue Histiocytes

Sea Blue Histiocytes :

Sea Blue Histiocytes are large lipid-containing histiocytes in the bone marrow which stain sea blue in color. They may be found in a rare autosomal condition characterized by neurological impairment and splenomegaly. Sea-blue–colored histiocytes have been described in the setting of high rates of intramedullary cell death due to lipid storage diseases (e.g. Niemann-Pick disease), myelodysplastic syndromes (MDS), lymphomas, chronic myeloid leukemia, idiopathic thrombocytopenic purpura, autoimmune neutropenia, total parenteral nutrition and β-thalassemia major.
Sea-blue histiocytes are a common cytological feature in the bone marrow of patients with MDS. As other disorders frequently associated with marrow sea-blue histiocytes are relatively rare, MDS is probably the most common cause of this phenomenon in a northern European population. The occasional sea-blue histiocyte may be a normal finding.
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