This picture appeared in the Facebook “Hematology Interest Group” today. The
cation was “identify the cells”.
Clearly the white cells are monocytoid;
I would say monoblasts. However the red cells don’t look right; hypochromic with
anisocytosis, and is there thrombocytopenia?
A few days later (I like being able to blog this retrospectively) some clinical information
was given:
“A
one year infant presented with hyperleukocytosis (120k) ,thrombocytopenia ,
anemia, arthritis HSM. Morphological diagnosis AML-M5b , most of the cells
present were promonocytes that accounted as blast equivalents.”
Rather a horrible thing in a one year
old…
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