January-February 2017, Volume 14, Issue 1
Blasts of a Different Sort
Published on: January 01, 2017
A 29-year-old man with a history of recurrent necrotizing pancreatitis and end-stage renal disease on intermittent hemodialysis was referred for outpatient consultation. He has no history of bruising or bleeding but was recently found to have pancytopenia. A CBC revealed a white blood cell count of 1.6 × 109/L, absolute neutrophil count of 0.4 × 109/L, hemoglobin of 9.1 g/dL, and platelet count of 83 × 109/L. A bone marrow biopsy (Figure 1, hematoxylin and eosin stain; Figure 2, reticulin stain) is shown in the images.