Red cells may align into a configuration that resembles a “stack of coins” based on the presence of an increased amount of plasma proteins, typically gamma globulins, on their surface. This peripheral smear is from a patient with multiple myeloma.FIG1 

Peter Maslak, Memorial Sloan-Kettering Cancer Center

Peter Maslak, Memorial Sloan-Kettering Cancer Center

Close modal

Many Blood Work images are provided by the ASH IMAGE BANK, a reference and teaching tool that is continually updated with new atlas images and images of case studies. For more information or to contribute to the Image Bank, visit www.ashimagebank.org.

Sign in via your Institution