Here’s
an interesting case we had at work the other day:
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M12345678
BACON Biffa 30.12.96
F Some Ward
Specimen H,17.4645650.M
Clin dets anaemia jaundice ?haemolysis
----------------------------------------------------------------------------
Hb -
36 |Monos - 0.10
WBC
3.60 |Eosin 0.00
Plts -
22 |Baso
0.00
Hct -
0.114 |RETP 7.9
RBC -
1.20 |RETA
95.00
MCV
95.0 |IRF
25.8
MCH
30.0 |
MCHC
316 |
RDW +
28.6 |
Neuts -
1.10 |
Lymphs
2.40 |
DIFF !Refer
to Urgent queue
Oval macrocytes, teardrop pokilocytes. ? cause
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Disastrously
low results on all cell lines. It turns out this was a case of paroxysmal
nocturnal haemoglobinuria.
I
was surprised to see it in one so relatively young, but it turns out I was
mistaken; it *is* a condition of the
young. For some reason I was of the opinion that it was a pre-leukaemic
condition of the middle-aged. One lives and learns… which is why we (I) do CPD…
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