case_images: PMC7676979_01
case_images: Bone marrow biopsy (200x). The bone marrow is normocellular with adequate trilineage hematopoiesis and normal maturation. Several megakaryocytes are present.
case_images: CRIHEM2020-8825618.001.jpg
case_images: PMC7676979_01_CRIHEM2020-8825618.001.jpg
case_images: fig1
case_images: The specimens obtained demonstrated maturing hematopoiesis with adequate megakaryopoiesis and no morphologic evidence of recurrent myeloma (Figure 1).
case_images: The platelet count and treatment history of the case.
case_images: CRIHEM2020-8825618.002.jpg
case_images: PMC7676979_01_CRIHEM2020-8825618.002.jpg
case_images: fig2
case_images: He remained dependent on intermittent IVIG infusions until July 2, 2007, when he underwent a splenectomy, resulting in a sustained rise in his platelet count (Figure 2).
case_images: The spleen was 244.5 gm showing red pulp congestion, but no abnormal cell population. The perivascular white pulp is intact but attenuated.
case_images: CRIHEM2020-8825618.003.jpg
case_images: PMC7676979_01_CRIHEM2020-8825618.003.jpg
case_images: fig3
case_images: His spleen had a normal weight of 244.5 gm, and microscopic examination demonstrated red pulp congestion and no abnormal cell populations (Figure 3).