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Definition / general | Etiology | Microscopic (histologic) description | Microscopic (histologic) imagesCite this page: Ziadie MS. Erythroblastosis. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/placentafetalnrbc.html. Accessed December 25th, 2024.
Definition / general
- Nucleated fetal red blood cells (nRBCs) are common in preterm placentas but are an abnormal finding in placentas at term
Etiology
- nRBCs reflect a response to fetal hypoxia or anemia due to a variety of causes including uteroplacental insufficiency, abruption, maternal diabetes, hemolytic disease of the newborn / ABO incompatibility, chronic fetomaternal transfusion, acute blood loss or chromosomal disorders
Microscopic (histologic) description
- Red cells that are smaller than nonnucleated red cells and have round, basophilic nuclei with smooth nuclear surfaces, surrounded by a thin rim of eosinophilic cytoplasm
- Number of cells per 10 HPF is counted
- Grading: mild (cells are easily found in preterm placentae and are rare / occasional at term), moderate (cells easily found at all gestations) and severe (markedly increased cells at all gestations, with at least one in each HPF)