11 October 2024 (Friday) NEQAS 2406BF

Got the results of NEQAS 2406BF today. I saw…
 

 

BF1

 

Sickle cells (consensus #2)

Eosinophilia (consensus #1)

Nucleated red cells (consensus #3)

Target cells (consensus #4)

Howell-Jolly bodies (consensus #6)

 

I felt this was a haemoglobinopathy with something setting off the eosinophils.

The expert opinion was that this was sickle cell disease with an unexplained eosinophilia

BF2

 

Target cells (consensus #1)

Tear drop cells (consensus #2)

Fragments (consensus #8)

Basophilic stippling (consensus #5)

Polychromasia (consensus #4)

 

I felt this was a haemolytic condition. It was haemoglobin H disease…

The expert opinion started off with “this case indicates how difficult it can be to think of the possibility of the correct diagnosis in the absence of clinical history and ethnic origin

I think this just shows we should be given a *lot* more information in these cases

 

I saw the salient features, didn’t miss anything, and would have dealt with each appropriately. That'll do...

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