Acanthocytosis is a phenotype of the red cell which can be found in different fundamental conditions. Bassen-Kornzweig syndrome or Abetalipoproteinemia; and an acute disease of the liver (spur cell hemolytic anemia) are the most common conditions that can be associated with acanthocytosis. Acantha is a Greek word for thorn and it is fitting that it is given to name the spur cells that have projections of different sizes which are the acanthocytes. These cells appear to be contracted, irregular, and dense. The formation of these cells depends on the alteration of the fat composition and the fluidity of red cell's membrane.