Haematology Case for Weekend

Peripheral blood cell morphology.
What are the findings and your suggestion for the diagnosis.

70 years old male from India.

Correct answer and more information:
Abnormal Red Blood Cell Morphology in an Elderly Male

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Laboratory test results

Hematology

• WBC count 16.5 (4.0-11.0) x 106/μL
• Hemoglobin 11.7 (12.0-16.0) g/dL
• Platelet count 300 (150-400) x 106/μL
• MCV 55 (76-96) fL
• MCH 16.5 (29.5 ± 2.5) pg
• MCHC 29.8 (33.0 ± 2) g/L
• RDW 18.7 (11.5-15.0)
• Differential: Neutrophils 80 (40-80)%
• Lymphocytes 17 (20-40)%
• Metamyelocytes 3
• Reticulocyte count 3.2 (0.2-2.0)%

Chemistry

• Bilirubin, total 0.8 (0.5-1.4) mg/dL
• Bilirubin, direct 0.4 (0.0-0.4) mg/dL
• AST 51 (5-50) U/L
• ALT 51 (5-50) U/L
• ALP 136 (70-230) U/L
• Total protein 6.5 (6.0-8.4) g/dL
• Albumin 3.6 (3.5-5.0) g/dL
• BUN 21 (15-45) mg/dL
• Creatinine 5.4 (0.7-1.5) mg/dL

Source: Lab Medicine, ASCP


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