Art and Science of Laboratory Medicine

Art and Science of Laboratory Medicine

Sunday, January 24, 2016

Sunday Blood Cell Challenge

Peripheral blood cell morphology quiz

Case: 52 years old shop keepr from Rotterdam has high fever and bruices in her legs and arms. She has been very weak and lost her appetite a week ago. She went to the primary healthcare center and basic blood test were taken. CRP was 35 mg/L, Hb 104 g/L and leukocytes 18.2 x10 9/L. Peripheral blood smear was sent to central lab and the typical findings are in the image below.

Can you identify these three cells (A, B and C)?

Correct anser is below the image.

(Click image to enlarge)

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Correct answer: All three cells are lymphocytes. A: Plasmacytoid lymphocyte, B: Malignant lymphocyte with crystalline inclusion, C: Reactive lymphocyte.

23 comments:

brushfire said...

Monocytes

Zljubus said...

A virocyt
B monocyt
C activate monocyt

Unknown said...

A plasma cell
B metamyelocyte
C active lymph

Jorge Alberto García Aguilar said...

A immature red blood cell
B monocyte
C active lymph

Jorge Alberto García Aguilar said...

A immature red blood cell
B monocyte
C active lymph

ozlem ton said...

A plasma cell b monocyte c Active lymphocyte

Anup Sharma said...
This comment has been removed by the author.
George said...

A plasmacytoid lymph
B monocyte
C activated lymph

Sobhan Allah said...

A. Plasma cell
B. Monocyte
C. Reactive lymphocyte

Marko Dorotić said...

A.reactive lymphocytosis with plasmacytoid features
B.monocyte/macrophage
C.reactive lymphocyte or monocyte --> possible viral infection: ß-Streptococcus, cytomegalovirus, drugs, Epstein-Barr virus (infectious mononucleosis), syphilis, toxoplasmosis, vaccination, and viral hepatitis...

Unknown said...

A. Plasmacytoid lymphocyte
B. Monocle
C. Reactive lymphocyte due to viral infection

Sapphire Wynn said...

A. Plasmacytoid lymphocyte
B. Monocle
C. Reactive lymphocyte due to viral infection

Unknown said...
This comment has been removed by the author.
lony voong said...
This comment has been removed by the author.
Anzelika Leus said...

A. Plasmacytoid lymphocyte
B. Monocyte
C. Variant lymphocyte

Marko Dorotić said...
This comment has been removed by the author.
Marko Dorotić said...

it could be blast but we cannot be certain of their lineage, i.e. they could be myeloid or lymphoid, the reason for that is we cannot determine their lineage is because they are immature cells that lack or show few features of differentiation down a particular lineage

Ahmed Maseh said...

A. Plasmacytoid reactive lymphocyte.
B. Myelocyte.
C. Atypical lymphocyte

Unknown said...

A-metamyleocyte
B-MYLEOCYTE
C-PRONORMOBLAST

Unknown said...

A-metamyleocyte
B-MYLEOCYTE
C-PRONORMOBLAST

bakicablogerica said...

A plasma
B monocyte
C virocyte

bakicablogerica said...

A plasma
B monocyte
C virocyte

bakicablogerica said...

not bad,,,butI must learn more

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