The Hematologist

January-February 2017, Volume 14, Issue 1

Blasts of a Different Sort

Jason Gotlib, MD, MS Professor of Medicine
Stanford University School of Medicine, Stanford, CA
John H. Baird, MD Fellow in Hematology/Oncology
Stanford University School of Medicine/Stanford Cancer Center, Stanford, CA
Jenny Hoffman, MD Department of Pathology
Stanford University School of Medicine, Stanford, CA

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.

Image Challenge Jan Feb 17

Image Challenge Jan Feb 17-2


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