Case 51 – update 1

So we have our first update.
Our 20 year old lady who is now 32 weeks pregnant attended with a rash. This is her first pregnancy.
She has been increasingly tired over the last 6 weeks, but has put this down to her pregnancy.
She had not been taking folic acid, but has been taking some iron tablets for the last 2 weeks. She does not take any other regular medication and has nkda. She does not smoke and only very occasionally drinks alcohol.
We have repeated her bloods.
Hb 78

Plt 40

Wcc 24

Neut 0.90
Na 136

K 4.0

Urea 5.4

Creatinine 78
LFT normal
The lab have made the blood film (shown below)

What does this show?

What would you do next?

   
 

About TeamHaem

Online education and discussion about all things haematological
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3 Responses to Case 51 – update 1

  1. abdel Halim Yousef says:

    Blast cells
    ? Leukemia lymphoma
    For immunophentyping

    • TeamHaem says:

      Thanks for all of your useful comments. We try to do most of the discussion via Twitter – next time reply to us and use #teamhaem! Thanks!

  2. Soha abuelela says:

    PB blasts
    Normoblastemia
    Polychromasia

    BM aspiration, immunophenotyping and cytogenetics are recommended

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