cell cytoplasm. This is not direct damage to hemoglobin per se, but rather a perturbation in the quaternary structure of hemoglobin. The presence of Heinz bodies may also be a feature of hyposplenism or asplenia, when a damaged or absent spleen cannot remove these damaged cells from circulation. Veterinary In veterinary medicine, Heinz bodies are associated with the consumption of paracetamol (acetaminophen), garlic, and onions by cats, dogs, and various primates. Thiosulfate compounds in the flesh of onions have been identified as the cause. Propylene glycol was once a common ingredient in soft moist cat food. According to the FDA "It was known for some time that propylene glycol caused Heinz Body formation in the red blood cells of cats (small clumps of proteins seen in the cells when viewed under the microscope), but it could not be shown to cause overt anemia or other clinical effects. However, recent reports in the veterinary literature of scientifically sound studies have shown that propylene glycol reduces the red blood cell survival time, renders red blood cells more susceptible to oxidative damage, and has other adverse effects in cats consuming the substance at levels found in soft-moist food. In light of this new data, CVM amended the regulations to expressly prohibit the use of propylene glycol in cat foods." Treatment There is no specific treatment for Heinz bodies; however, they are important as a diagnostic indicator for the causative conditions listed above. References Abnormal clinical and laboratory findings for RBCs