case_images: PMC11057892_01
case_images: Peripheral blood smear: Tear-drop red blood cells and very few large-size platelets (Wright-Giemsa stain, 1000x magnification).
case_images: 10-1055-s-0044-1779697-i230152-1.jpg
case_images: PMC11057892_01_10-1055-s-0044-1779697-i230152-1.jpg
case_images: FI230152-1
case_images: Peripheral blood smear showed tear-drop red blood cells and very few large-size platelets ( Fig. 1 ).
case_images: (
  A
  ) Bone marrow biopsy: Low-power view shows hypercellularity and sclerosis of bone trabeculae (hematoxylin and eosin stain. x 200). (
  B
  ) Bone marrow biopsy: High-power view shows megakaryocytic hyperplasia with abnormal morphology along with osteosclerosis (hematoxylin and eosin stain. x 500). (
  C
  ) Bone marrow biopsy: Fine reticulin fibers (reticulin stain).
case_images: 10-1055-s-0044-1779697-i230152-2.jpg
case_images: PMC11057892_01_10-1055-s-0044-1779697-i230152-2.jpg
case_images: FI230152-2
case_images: Bone marrow core biopsy revealed hypercellularity and megakaryocytic hyperplasia with abnormal morphology along with osteosclerosis ( Fig. 2 ).