case_images: PMC6442445_01
case_images: Hypersegmented neutrophils and hypochromic erythrocytes characteristic of a megaloblastic anemia. H&E stain. Magnification: 400x.
case_images: CRIHEM2019-1529306.001.jpg
case_images: PMC6442445_01_CRIHEM2019-1529306.001.jpg
case_images: fig1
case_images: Examination of a repeat peripheral blood smear was significant for hypersegmented neutrophils and moderate ovalocytes (Figure 1).
case_images: Significant lab values throughout hospital course and three months after initial therapy. Red arrows indicate the dates in which the patient underwent plasmapheresis. The blue arrow indicates the date in which B12 replacement was initiated.
case_images: CRIHEM2019-1529306.002.jpg
case_images: PMC6442445_01_CRIHEM2019-1529306.002.jpg
case_images: fig2
case_images: CBC values also normalized after therapy (Table 2 and Figure 2).