8 December 2017 (Friday) - Leaukaemic Transformation

This picture appeared in the Facebook Hematology Interest Group today

84 yr old female in ED today for fatigue x6 days
WBC 292
HGB 4.1 mg/dL
PLT 21
History of leukocytosis/ myelofibrosis from 2010. Genetic testing positive for JAK2 mutation, chromosome 6 deletion.
Appears to have transformed to full acute leukemia now.
Diff 92% blasts”

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