Phosphatidyl Serine (PS) Exposing Red Blood Cells Phosphatidyl serine (PS) exposure has been shown to be increased in disease states such as sickle cell anemia and thalassemia (ref: deJong, year). A sample of erythrocytes is incubated with a fluorescently labeled dimer of the annexin V molecule, which binds specifically to PS in the presence of calcium. Any fluorescent events detected by flowcytometry are determined to expose PS and are counted as positive events. Phosphatidyl serine exposing cells are represented as the percent of the population that binds annexin V for sickle cell disease patients (SS) and normal controls (AA).