I came across this posting
whilst perusing Facebook over brekkie this morning.
“45 yr
female was investigated for splenomegaly and pancytopenia that progressed over
the past 15 years. She also has conversion disorder with seizures, but the EEG
were normal while convulsing. She had learning disabilities when she was at
high school but her cognitive functions were normal. Despite her slight
impaired balance problem, she was always employed. A bone marrow was ordered
and the images show here is from her aspirate. No peripheral blood film images
as it is not very interesting, other than pancytopenia.
The bone
marrow images showed both the lipid containing foamy histiocytes and ceroid
containing histiocytes (sea-blue histiocytes). From the patient history and
further testing, this should be classified as Niemann-Pick Type B.”
Niemann-Pick…. Not heard of that for some time.
A refresher is always good.
No comments:
Post a Comment