case_images: PMC7388081_01
case_images: BM cell morphology with hematoxylin-eosin staining at high magnification
  (100X) of the patient at the time of diagnosis, which showed a
  hypercellular marrow and high granular level that indicates high degree
  of dysgranulopoiesis.. BM, bone marrow.
case_images: 10.1177_2040620720927105-fig1.jpg
case_images: PMC7388081_01_10.1177_2040620720927105-fig1.jpg
case_images: fig1-2040620720927105
case_images: Morphological examination of bone marrow (BM) aspirate showed a thrombocytosis and hypercellular marrow with high degree of dysgranulopoiesis, including 0.5% myeloblasts, 3.5% promyelocytes, 9% myelocytes, 3% metamyelocytes, 10% eosinophils, 4.5% lymphocyte, 2% nucleated red blood cells, and 9.5% monocytes (Figure 1).
case_images: Blood smear at high magnification (100X) at the time of diagnosis:
  myelocytes and metamyelocytes could be found in peripheral blood with
  granulocytosis.
case_images: 10.1177_2040620720927105-fig2.jpg
case_images: PMC7388081_01_10.1177_2040620720927105-fig2.jpg
case_images: fig2-2040620720927105
case_images: Manual differential count of peripheral blood also revealed a granulocytosis (Figure 2).
case_images: Immunohistochemical analysis of BM core biopsy at high magnification
  (200X) demonstrating CD71+ (panel 1) and CD61+
  (panel 2). BM core biopsy with MPO+ (panel 3). Meshinprotein
  staining at high magnification (100X) demonstrating grade 1 BM fibrosis
  (panel 4).. BM, bone marrow; MPO, myeloperoxidase.
case_images: 10.1177_2040620720927105-fig3.jpg
case_images: PMC7388081_01_10.1177_2040620720927105-fig3.jpg
case_images: fig3-2040620720927105
case_images: Meshinprotein staining was consistent with grade 1 BM fibrosis (Figure 3).