Hematology Case 18

Presented By Dr Mohammad Moharram

Released on 9-10-2019

Patient Data

70 year old female

Clinical Data

History of mitral valve regurgitation , Estimated EF 15-20%, Left ventricular dilatation.

Patient came to hospital complaining of sore throught and cough 1 week ago with no blood. There was fever that responds to antipyretics.

Patient looks ill.

Chest X-ray show slight mediastinal shift to right side and patches at lower right lung.

Related Laboratory Results

WBC: 34.8x103/uL

HGB: 8.1 g/dL

MCV: 103 fL

MCH: 33 pg

MCHC: 32.5 g/dL

Platelet: 41x103/uL

Normal Renal and Liver functionsز

Case Picture(s) / Photo(s)

Comment / Findings

Marked Leukocytosis with blast cells: 82% (Myeloid)

Moderate Macrocytic Normochromic anemia with anisocytosis.

Normoblasts are seen : 1/100 WBC

Severe Thrombocytopnea

Final Diagnosis

A case of Acute Myeloid Leukemia for Immunophenotyping and Cytogentic workup.

Additional Note

Patient was referred to higher center for immunophenotyping and cytogenetic work up.