Scattered elliptocytes were present and reported on both blood films; however, their subtlety may not warrant an obvious elliptocytosis diagnosis; that said, we report a similar scattering of elliptotic cells consistent with the (mild to moderate) ‘elliptocytosis’ originally reported by Jonsson et al. 1 Absence of elliptocytosis in other studies with microdeletions spanning AMMECR1 may be due to laboratory under-reporting, particularly if the red cell morphology is subtle. The gene discussed is AMMECR1; the disease is hereditary elliptocytosis.