case_images: PMC6537289_01
case_images: Histopathology of vitamin C deficiency-associated megaloblastic anemia. (A)
  Macrocytic red blood cells on peripheral blood smear (x1000). (B) Bone
  marrow biopsy shows hyperplastic marrow with megaloblastic erythroid and
  myeloid precursors (x400). (C) Megaloblastic erythroid and myeloid
  precursors on marrow aspirate smear (x1000). (D) Moderate amount of iron
  storage in spicules, iron staining (x400).
case_images: 10.1177_1179547619849036-fig1.jpg
case_images: PMC6537289_01_10.1177_1179547619849036-fig1.jpg
case_images: fig1-1179547619849036
case_images: Peripheral blood smear showed macrocytes (Figure 1A), mild anisocytosis, and rare nucleated RBCs. The biopsy showed hypercellular marrow for age (90%) with trilineage hematopoiesis (Figure 1B). There was absolute erythroid hyperplasia and megaloblastic change (Figure 1B and C). The iron stain revealed abundant amount of iron storage (Figure 1D), and retic stain revealed no increase in reticulin fibers.