case_images: PMC8275415_01
case_images: Peripheral blood smear: (a) mature eosinophil with hypogranulation and prominent vacuoles and (b) a blast with rare azurophil granules. Wright-Giemsa stain: 1000x.
case_images: CRIHEM2021-5574766.001.jpg
case_images: PMC8275415_01_CRIHEM2021-5574766.001.jpg
case_images: fig1
case_images: The remainder of the differential was significant for 44% neutrophils, 5% lymphocytes, 4% monocytes, 2% basophils, and 13% blasts (Figure 1).
case_images: Bone marrow aspirate (BMA) and bone marrow biopsy (BMB): hematoxylin and eosin; 400x: (a) several agranular blasts and (b) numerous eosinophils and immature myeloid precursors.
case_images: CRIHEM2021-5574766.002.jpg
case_images: PMC8275415_01_CRIHEM2021-5574766.002.jpg
case_images: fig2
case_images: Bone marrow aspirate and biopsy showed acute myeloid leukemia, minimally differentiated, with prominent eosinophilia and 28% blasts (Figure 2).