Here’s an
interesting case. One I personally found whilst at work today. Apologies for
the awful photo – I took it with the phone on my camera.
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KIRK James T
M1234567 31.02.21
M
--------------------------------------------------------------------------------
HBM WBCM PLT
HCT RBCM MCVM MCHM MCHCM RDW
N
090118
90 2.72 171 0.299 2.95
101.4 30.5 301 19.1 2.14
100118
98 3.65 165 0.310 3.11
99.7 31.5 316 19.1 2.64
110118
88 2.55 122 0.274 2.81
97.5 31.3 321 19.2 1.98
120118
85 1.83 107 0.268 2.72
98.5 31.3 317 19.5 0.96
L M
E B NUC NUCA
ESR GF
090118
0.32 0.20 0.05 0.01
100118
0.63 0.36 0.00 0.02
110118
0.40 0.24 0.03 0.00
120118
0.52 0.30 0.02 0.03
--------------------------------------------------------------------------------
couNt/dIrect/Diffs/Comms/Add
comms/Hold/Rel/aBandon/reJect <R> .
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The patient
had been in hospital for a while. However today his neutrophil count had
dropped below the level at which we would scrutinise a blood film.
Look – elliptocytes
!!
On seriously
reviewing the case it seemed that elliptocytes had been seen eighteen years
ago. Again a chance finding like most cases of elliptocytosis, and in no way clinically
significant.
But I got so
excited with the elliptocytes I nearly forgot to review the neutropenia.
There’s a
moral in there somewhere…
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