Case 132 – Update 2!

Thank you for everyone’s contributions! Our list of differentials for this man with cervical lymphadenopathy, weight loss and recurrent respiratory tract infections is appropriately wide.

Luckily you’ve some of your requested investigations are back:

FBC: Hb 110 Plts 60 WCC 54 Neuts 2.0 Lymphs 51

Renal and liver function: Normal

Serum electrophoresis: No paraprotein

HIV / hep B / C normal.

Blood film:

Questions:

  1. What does the blood film show?
  2. What is the most likely diagnosis?
  3. What further investigations would you request?

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 week so keep checking #TeamHaem on Twitter for more information.

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