# Tiny Cells, Big Clues: Unveiling Infantile Pyknocytosis Through a Case Series

**Authors:** Fathima Amani Mohammed Nowfal, Sura Ahmed, Mahmoud Alhussain Radaideh

PMC · DOI: 10.7759/cureus.93272 · 2025-09-26

## TL;DR

This paper discusses a rare blood disorder in infants and emphasizes the importance of early diagnosis for better outcomes.

## Contribution

The study contributes by presenting case series that highlight the diagnostic importance of pyknocytes in neonatal hemolytic anemia.

## Key findings

- Infantile pyknocytosis can be diagnosed by identifying pyknocytes in blood smears.
- Early diagnosis leads to favorable outcomes in affected neonates.
- Healthcare providers need increased awareness of this rare condition.

## Abstract

Infantile pyknocytosis is a rare and benign hematologic disorder with an unknown etiology that may initially present as a critical neonatal condition. Although it clinically appears as neonatal jaundice and Coombs-negative anemia, the diagnosis of infantile pyknocytosis is primarily based on identifying pyknocytes in the peripheral blood smear, along with excluding other common causes of hemolytic anemia.

By presenting case studies of neonates with jaundice and findings suggestive of infantile pyknocytosis, this study underscores the importance of recognizing this uncommon condition in the evaluation of neonatal hemolytic anemia of uncertain etiology. Timely diagnosis and appropriate management can lead to favorable outcomes, highlighting the need for increased awareness among healthcare providers.

## Linked entities

- **Diseases:** hemolytic anemia (MONDO:0003664)

## Full-text entities

- **Diseases:** condition (MESH:D020763), jaundice (MESH:D007565), hematologic disorder (MESH:D006402), anemia (MESH:D000740), hemolytic anemia (MESH:D000743), neonatal jaundice (MESH:D007567), Infantile Pyknocytosis (OMIM:271245)

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12554251/full.md

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Source: https://tomesphere.com/paper/PMC12554251