Price-Jones curve

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Short description: Graph showing size of red blood cells

A Price-Jones curve is a graph showing the distribution of diameters of red blood cells. Higher diameter may be seen in pernicious anaemia, while lower diameter may be seen after haemorrhage.

Medical uses

A Price-Jones curve can be used in the diagnosis of anaemia.[1][2] Price-Jones curves usually vary both by average red blood cell size, and the distribution of sizes.[3]

Interpretation of results

Higher red blood cell diameter and wider variation in size are often seen in pernicious anaemia.[3] Lower diameter with normal variation in size are often seen after haemorrhage.[3] A higher variation in size is known as anisocytosis.[4][5]

Procedure

A blood smear can be used to view individual red blood cells. The diameter of each red blood cell can be measured, which is usually analogous to volume.[2] This is usually performed automatically by particle counters.[2][4] Data is then converted into a histogram.[1] This can be used to assess red blood cell distribution width (RDW).[1][4]

History

Cecil Price-Jones first proposed using the Price-Jones curve in a 1922 paper.[6] It has been used for assessing red blood cells since then.[7]

References

  1. 1.0 1.1 1.2 Sarma, P. Ravi (1990). "152 - Red Cell Indices" (in en). Clinical Methods: The History, Physical, and Laboratory Examinations (3rd ed.). ISBN 978-0-409-90077-4. 
  2. 2.0 2.1 2.2 McLaren, Christine E (June 1996). "Mixture models in haematology: a series of case studies". Statistical Methods in Medical Research 5 (2): 129–153. doi:10.1177/096228029600500203. ISSN 0962-2802. PMID 8817795. https://doi.org/10.1177/096228029600500203. 
  3. 3.0 3.1 3.2 Evans, Timothy C.; Jehle, Dietrich (1991-01-01). "The red blood cell distribution width" (in en). The Journal of Emergency Medicine 9: 71–74. doi:10.1016/0736-4679(91)90592-4. ISSN 0736-4679. PMID 1955687. https://dx.doi.org/10.1016/0736-4679%2891%2990592-4. 
  4. 4.0 4.1 4.2 Constantino, Benie T. (May 2013). "Red Cell Distribution Width, Revisited". Laboratory Medicine 44 (2): e2–e9. doi:10.1309/LMZ1GKY9LQTVFBL7. 
  5. Choudhary, Sarita; Bordia, Sandhya; Choudhary, Kavita (December 2018). "Sensitivity of Red Cell Histogram and CBC parameters against Peripheral Blood Smear in Various Anemias". Indian Journal of Basic and Applied Medical Research 8 (1): 135–141. https://www.ijbamr.com/assets/images/issues/pdf/December%202018%20%20135%20-%20141.pdf.pdf. 
  6. Price-Jones, Cecil (1922). "The diameters of red cells in pernicious anaemia and in anaemia following haemorrhage". The Journal of Pathology and Bacteriology 25 (4): 487–504. doi:10.1002/path.1700250410. https://ia800708.us.archive.org/view_archive.php?archive=/28/items/crossref-pre-1923-scholarly-works/10.1002%252Fpath.1700190105.zip&file=10.1002%252Fpath.1700250410.pdf. 
  7. Halie, M. R. (1985). "Aspects of quantitative cytometry: an overview" (in de). Pure and Applied Chemistry 57 (4): 587–592. doi:10.1351/pac198557040587. ISSN 1365-3075.