case_images: PMC6586112_01
case_images: Peripheral smear H&E stain. Pseudo Pelger-Huet neutrophil: a finding seen in MDS, can also be seen in B12 deficiency. This finding is characterized by a bilobed nucleus, and markedly reduced granulation.
case_images: ZJCH_A_1622382_F0001_PB.jpg
case_images: PMC6586112_01_ZJCH_A_1622382_F0001_PB.jpg
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case_images: Analysis of the peripheral smear revealed slight anisocytosis, polychromasia, dyserythropoiesis, dysplastic neutrophils, absence of schistocytes, and left shifted myeloid cell lines with few blasts (Figures 1, 2).
case_images: Peripheral smear H&E stain. (a) Dyserythropoiesis Giemsa stain 1000x. Nuclear budding is evident in image.
case_images: ZJCH_A_1622382_F0002_PB.jpg
case_images: PMC6586112_01_ZJCH_A_1622382_F0002_PB.jpg
case_images: F0002
case_images: Analysis of the peripheral smear revealed slight anisocytosis, polychromasia, dyserythropoiesis, dysplastic neutrophils, absence of schistocytes, and left shifted myeloid cell lines with few blasts (Figures 1, 2).
case_images: Bone marrow aspirate one day after admission. (a) Erythroid and megakaryocyte hyperplasia: The bone marrow is hypercellular with ineffective erythropoiesis. (b) Megakaryocyte dysplasia. The megakaryocytes are abnormal with multiple small lobes seemingly disconnected from one another.
case_images: ZJCH_A_1622382_F0003_PB.jpg
case_images: PMC6586112_01_ZJCH_A_1622382_F0003_PB.jpg
case_images: F0003
case_images: On day two of the hospitalization a bone marrow biopsy was performed (Figure 3).