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Detection of erythrocytes in patients with Waldenstrom macroglobulinemia using atomic force microscopy.
[waldenström macroglobulinemia]
The
pathological
changes
of
erythrocytes
are
detected
at
the
nanometer
scale
,
which
is
important
for
revealing
the
onset
of
diseases
and
diagnosis
.
The
aim
of
this
study
is
to
examine
the
ultrastructural
changes
of
erythrocytes
in
Waldenström
macroglobulinemia
(
WM
)
at
a
nanometer
scale
.
Blood
samples
were
collected
from
two
healthy
volunteers
,
two
WM
patients
,
and
three
multiple
myeloma
(
MM
)
patients
when
they
were
first
diagnosed
.
The
changes
of
morphology
in
the
erythrocytes
were
studied
at
the
nanometer
level
by
high
-resolution
atomic
force
microscopy
imaging
(
AFM
)
.
Compared
with
the
healthy
controls
and
the
MM
patients
,
there
were
dramatic
deformations
in
the
overall
shape
and
surface
membrane
of
the
erythrocytes
in
WM
patients
.
Healthy
,
pathological
WM
,
and
MM
erythrocytes
could
be
distinguished
by
several
morphological
parameters
,
including
the
width
,
length
,
length-
to
-width
ratio
,
valley
,
peak
,
peak-
to
-valley
,
and
Ra
.
AFM
is
able
to
detect
the
morphological
differences
in
the
red
blood
cells
from
WM
patients
,
healthy
controls
,
and
MM
patients
.
Therefore
,
the
erythrocyte
morphology
is
an
important
parameter
for
the
diagnosis
of
WM
,
which
can
be
used
to
distinguish
WM
from
MM
.
The
changes
of
ultrastructure
in
red
blood
cells
may
provide
a
clue
to
reveal
the
mechanism
of
WM
.
Diseases
Validation
Diseases presenting
"morphological differences in the red blood cells"
symptom
waldenström macroglobulinemia
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