A 56-year-old female attended a dermatology clinic. The haemoglobin and platelet counts were normal but the white cell count was found to be 20 x 10^9/L. A film was sent for assessment.”
Initial thoughts – it’s Sezary Syndrome
But doing it properly
Rbc Rouleaux anisopoikilocytosis | Wbc Lymphocytosis cerebreform cells cleft nuclei cytoplasmic blebs Sezary cells Eosinophilia Blast cells | Plt Thrombocytosis |
I spotted the salient features... and it was Sezary Syndrome.
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