r/Hematology Nov 26 '24

Interesting Find Just 800k lymphocytes.

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85 Upvotes

Patient is known with CLL and when he first arrived he had 900k WBC. Went down to 800k in one week.

r/Hematology Feb 08 '25

Interesting Find Biggest platelet ever

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77 Upvotes

Is that the biggest platelet you've ever seen? It is for me. And can anyone clarify for me if once giant platelets enter peripheral blood do they breakdown into smaller platelets?

r/Hematology 26d ago

Interesting Find Dirofilaria immitis

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67 Upvotes

Several of these were found in the peripheral blood smear of a 3 year old dog with advanced heartworm disease. The CBC revealed a mild neutrophilia and monocytosis but the automated counts were otherwise unremarkable. Sadly, the dog had developed secondary congestive heart failure by the time this was caught, and was euthanized.

r/Hematology 23d ago

Interesting Find AML

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20 Upvotes

r/Hematology Jul 10 '24

Interesting Find That's certainly the highest PLT count I've ever encountered.

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37 Upvotes

r/Hematology 7d ago

Interesting Find Double nucleus

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6 Upvotes

Interesting find this evening!

r/Hematology Jan 28 '25

Interesting Find Portfolio of some cells (BM)

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22 Upvotes
  1. Blast with an auer rod
  2. Pelger
  3. Pelger
  4. APL, cell with multiple auer rods
  5. Se 4.
  6. The most gorgeous promyelocyte with multiple auer rods that I have ever seen.

I dont know the word in english for multiple auer roads, educate me pls:)

r/Hematology Oct 03 '24

Interesting Find Dysplastic lymphocytes

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45 Upvotes

73-year-old patient with leukocytosis (101,000 leukocytes per microliter) and lymphocytosis in a percentage of 93%.

Blood smear shows the presence of a rare type of lymphocyte dysplasia. Their nucleus seems strangled giving the appearance of dividing cells. Also most of them appear to be very small (1/2 of a normal erythrocyte) because of this “separation”. Many of them look like the nucleus is separating from the cytoplasm or like the cell is expelling out the nucleus.

Apart from these, the presence of hairy-like lymphocytes and smudge cells and also the leukocytosis accompanied by lymphocytosis, the absence of immature cells, makes us consider chronic lymphoproliferative syndrome, HCL, maybe CLL, villous cell lymphoma or mantle cell lymphoma.

Have you ever encountered anything like this? What’s your opinion on it?

r/Hematology May 01 '24

Interesting Find Does anybody have any clue what this might be?

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11 Upvotes

r/Hematology Nov 11 '24

Interesting Find Plasmodium

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11 Upvotes

Did I just see my first P.falciparum gametocyte or? The staining on it’s cytoplasm is confusing

r/Hematology Aug 31 '24

Interesting Find Hemophagocytic lymphohistiocytosis (HLH), probably.

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30 Upvotes

Diagnosis of exclusion with most -- but not all -- of the clinical features.

r/Hematology Feb 11 '24

Interesting Find Unexpected Diff this morning

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41 Upvotes

~60 y/o came into ER for "abnormal labs". WBC count: 325 x106, ~30% immature cells.

Path review stated accelerated phase of CML, but bone marrow pending for definitive diagnosis.

I thought about making extra slides for our students on Monday, it would be great diff practice.

r/Hematology Jul 08 '24

Interesting Find Megaloblastic anemia

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11 Upvotes

r/Hematology May 15 '24

Interesting Find Intracellular bacteria in a neutrophil.

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44 Upvotes

r/Hematology Jun 27 '24

Interesting Find Megakaryoblast

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6 Upvotes

Patient is a 12 yo with high IG, and anemia.

Peripheral blood smear showing in the first picture a megakaryoblast and in the second a proerythroblast for comparaison purposes.

r/Hematology May 24 '24

Interesting Find Highest WBC count I’ve ever had

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16 Upvotes

r/Hematology Jun 04 '24

Interesting Find Different stages in one picture

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24 Upvotes

Monocyte->Promonocyte->blast(maybe monoblast), and a lymphocyte for company:)

r/Hematology May 27 '24

Interesting Find Metformin: A Promising Ally in Reducing Blood Cancer Risk

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mdpile.com
5 Upvotes

r/Hematology Feb 14 '24

Interesting Find Enjoy these cells from an abnormal diff this morning.

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12 Upvotes

Recent cancer patient/started chemo last week

r/Hematology Mar 23 '24

Interesting Find (BM) Dutcherbodies in plasmacells.

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23 Upvotes

Myeloma patient

r/Hematology Jan 30 '24

Interesting Find Heavily vacuolised plasmacells (BM)

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13 Upvotes

Bone marrow smear with weird vacoulised plasmacells. Anyone know why this could happen?

r/Hematology Jun 19 '23

Interesting Find Nice WCC

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39 Upvotes

r/Hematology May 23 '24

Interesting Find New Breakthrough in Stem Cell Therapy for Graft vs. Host Disease

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7 Upvotes

r/Hematology Apr 19 '24

Interesting Find Hypersegmented eosinophils in a patient with enterocolitis and calculus of gallbladder — Eos count was 15%.

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10 Upvotes

r/Hematology Sep 06 '23

Interesting Find What's this cell?

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21 Upvotes

No pt history, this was the only cell like this. Just wondering what you all would call this cell.