Case 50 part 5 – the beginning

You are the haematologist in a busy clinic. You are referred a patient with splenomegaly and pancytopenia. She has been suffering from night sweats. A full blood count shows:

  • Hb 92g/L (115-160)
  • MCV 89fL (79-98)
  • WCC 2.5×10*9/L (4-11)
  • Neuts 1.0×10*9/L (2-7)
  • PLT 78×10*9/L (150-400)



  • What are your differential diagnoses?
  • What may you look for on the blood film?


Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming days so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
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