Hematology Case 4
Hematology Case 4
Embedded Files
Presented By Dr Mohammad Moharram
Released on 01-05-2019Patient Data
Patient Data
67 year old , Female
Clinical Data
Clinical Data
Recurrent sepsis, admitted in surgery ward to prepare for surgical drainage of gluteal abscess.
History of chest infection few weeks ago. Severe Pallor.
Related Laboratory Results
Related Laboratory Results
WBC: 20.4x10³/uL
HGB:6.5 g/dL
MCV: 97 fL
MCH: 29.1 pg
MCHC: 30.1%
Platelet: 122x10³/uL
Reticulocytic count: 11.2%
ESR: 140 mm/Hr
BUN: 12.2 mmol/L (R.R.: 2.5-6.4)
Creatinine: 189 umol/L (R.R.: 37-96)
Total Protein: 107g/L (R.R.:65-81)
“Photos attached are peripheral blood smear photos”
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Peripheral Blood Smear
Bone Marrow Aspirate
Comment / Findings
Comment / Findings
Peripheral Blood smear: show Plasma Cells (24% by differential Count) Few of Them show dysplastic features (lobulated nucleus in page 2 )
Severe Normocytic Normochromic anemia. RBCs show Rouleaux formation.
Bone Marrow Aspirate: Hypercellular Bone marrow with increased plasma cells (40% by differential count)
Final Diagnosis
Final Diagnosis
Picture is suggestive of Plasma Cell Leukemia
Additional Note
Additional Note
Patient is referred to specialized oncology center. Immunophenotyping confirmed the case as Plasma Cell Leukemia.
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