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Dysplastic Neutrophils, Peripheral Blood Smear

Published: August 9, 2026Updated: August 17, 2026

A peripheral blood smear test that checks neutrophils for abnormal appearance, which can help evaluate possible bone marrow disorders.

Quick summary

["Abnormal neutrophil appearance may suggest a bone marrow disorder, but other conditions and test results must also be considered."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
71369-3
Short code
Neutrophils.dysplastic Bld Ql Smear
Synonyms
Neutrophils.dysplastic Bld Ql Smear
Category
liver
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
CPT
84484
SNOMED
302774002
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test examines the shape and structure of neutrophils, a type of white blood cell, on a peripheral blood smear. It looks for dysplastic changes, meaning cells that appear abnormal or develop in an unusual way.

Why might I need this test?

Your clinician may order this test when a complete blood count shows low blood cell counts or other concerning findings. It can help evaluate possible bone marrow disorders, including myelodysplastic syndromes, which are conditions in which blood cells do not develop normally.

How is the test performed?

A blood sample is collected, and a thin layer of blood is spread on a glass slide. A laboratory professional stains the cells and examines them under a microscope to identify neutrophils with abnormal shapes or features.

How do I prepare for the test?

No special preparation is usually needed. Follow your clinician's instructions and tell the laboratory if you have recently had a bone marrow transplant or received chemotherapy, because these can affect blood cell appearance.

Reference range

Adult: 10-40 U/LN/A

Specimen: whole-blood

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Dysplastic neutrophils may occur with myelodysplastic syndromes or other bone marrow disorders. Similar changes can also result from medications, chemotherapy, infection, vitamin deficiencies, or other temporary effects, so this finding alone does not establish a diagnosis. Your clinician will interpret it with your blood counts, medical history, and possibly a bone marrow biopsy.

Short name

Dysplastic Neutrophils

Frequently asked questions

Does this test diagnose myelodysplastic syndrome?
No. It can support suspicion for a bone marrow disorder, but diagnosis usually requires a complete blood count, other laboratory testing, and often a bone marrow biopsy.
Can dysplastic neutrophils be caused by medicines?
Yes. Chemotherapy, some medicines, and recent bone marrow transplantation can cause temporary changes in blood cell appearance.
Do I need to fast for this test?
Usually not. Unless your clinician gives different instructions, you may eat and drink normally before the blood sample is collected.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy