The Hematologist

March-April 2017, Volume 14, Issue 2

Planting Evidence

Brian Dietrich, MD Fellow in Hematology/Oncology
Stanford University School of Medicine/Stanford Cancer Center, Stanford, CA
Caroline Berube, MD Clinical Associate Professor of Medicine
Stanford Cancer Institute, Stanford, CA

Published on: March 01, 2017

A 31-year-old otherwise healthy man was referred to hematology clinic for evaluation of long-standing thrombocytopenia. He has had thrombocytopenia since his teenage years with a platelet count in the 60 to 90 x 109/L range. He had no history of prior bleeding episodes, and had never required therapy for his cytopenia. The remainder of his CBC showed a normal white blood cell count (4.4 x 109/L) and mild anemia (hemoglobin of 11.2 g/dL; MCV of 97.0 fL). The reticulocyte count was 4.45 percent with an absolute count of 158.1 x 109/L. The peripheral blood smear is shown in the images below:

IC Dietrich 3/3/17

IC Dietrich 3/3/17 Fig 2

IC Dietrich 3/3/17 Fig 3

 

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