Here’s
an interesting case that came up on the Facebook Hematology Interest Group.
The blood
films show large and grey platelets. There are megakaryocyte fragments. There
are bizarre neutrophils with Dohle bodies and “Dohle like bodies”. There are
blast cells. The red cells show many abnormalities…
It was
interesting per se in that the slides were taken from a patient with May-Hegglin
Anomaly and MDS, and is likely heading towards AMKL for FAB AML M7.
And it
was interesting to read the comments made on some of the slides. Some were
insightful. Some were utterly wrong. It was not a case of megaloblastic
anaemia, nor was it a case of malaria. But there were those who would have us
think it was. And many of the totally wrong guesses were presented in a very
confident and forceful way.
A lot of
people go on these Facebook pages hoping to learn. How many people believe the
wrong answers?
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