A 25-year-old woman presents with fatigue and pallor. Her la…
A 25-year-old woman presents with fatigue and pallor. Her laboratory results are as follows: Hemoglobin (Hgb): 8.0 g/dL Hematocrit (Hct): 24% Reticulocyte Count: 5% RBC Count: 2.8 x 10⁶/µL Reticulocyte Maturation Factor: 2.0 (adjusted for anemia, for Hct
Read DetailsA 9-year-old girl has bruising noted on the extremities and…
A 9-year-old girl has bruising noted on the extremities and back, reportedly recurrent for one month duration. Lab results show a Hgb 7.1 g/dL, Hct 22.8%, MCV 89 fL, platelet count 63,000/µL, WBC count 19,128/µL. BM biopsy shows 100% cellularity with replacement by primitive cells with large nuclei, delicate chromatin; indistinct nucleoli with scanty cytoplasm. These cells mark for CD10 (CALLA) antigen. Which of the following is the most likely diagnosis?
Read DetailsA patient reports to the lab for annual blood work. The CBC…
A patient reports to the lab for annual blood work. The CBC shows moderate anemia, which is reported to the physician. Morphologically, the RBCs are of normal size and shape. A reticulocyte count is reflexed and reported to be 0.7%, with a RPI = 1. Which cause of anemia is suggested?
Read DetailsA 62-year-old patient presents with complaints of fatigue, p…
A 62-year-old patient presents with complaints of fatigue, pallor, and occasional shortness of breath. On examination, he has pale conjunctiva and mild glossitis. A CBC reveals the following results: Hemoglobin: 8.5 g/dL MCV: 115 fL WBC: 3.2 x 10⁹/L Platelets: 95 x 10⁹/L Reflex Tests Ordered: Serum Vitamin B12: Low Serum Folate: Normal Serum Iron: Normal Bone Marrow Biopsy: Hypercellular with dysplasia in all three cell lines. Based on the clinical findings and laboratory results, which is the most likely diagnosis, and what features differentiate this diagnosis?
Read Details