12 February 2017 (Sunday) - Childhood AML
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…
Labels: case study