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  2. Crenated red cells, traditionally considered an indication of glomerular bleeding, may be encountered in any concentrated urine specimen. Acanthocytes, which are doughnut-shaped red cells with a central hole and membrane blebs attached peripherally, are more specific for an upper-tract bleeding source.
    www.aafp.org/pubs/afp/issues/2004/0301/p1263a.html
    www.aafp.org/pubs/afp/issues/2004/0301/p1263a.html
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