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)%
- 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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4 comments:
Hereditary Elliptocytosis , a White Blood Cell as seen in Myelodysplastic Syndrome , Myeloproliferative disorder : Subtype : Pencil/ rod shape cell. *
? ther is a rise in creat?
liver is normal, rise in creatinine doubts kidney invovement in blood picture. check the erythropiotin level. correcting the kidney factors will improve the elliptosis blood picture.
anisopoikilocytosis due to hypothermia with dehydration
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