case_images: PMC6343163_01
case_images: BMA smear. Normocellular marrow with trilineage hematopoiesis (a). Phagocytosis (blue arrow) by a histiocyte of erythroids and granulocytes (b).
case_images: CRIHEM2019-3879148.001.jpg
case_images: PMC6343163_01_CRIHEM2019-3879148.001.jpg
case_images: fig1
case_images: The BMA smear revealed a normocellular marrow with trilineage hematopoiesis and the presence of hemophagocytosis (see Figure 1).
case_images: BM trephine biopsy. Normocellular marrow with megakaryocytic hyperplasia (small green arrows) in focal loose clusters (a). Reticulin staining showing moderate reticulin fibrosis (small blue arrows) (b).
case_images: CRIHEM2019-3879148.002.jpg
case_images: PMC6343163_01_CRIHEM2019-3879148.002.jpg
case_images: fig2
case_images: The bone marrow trephine biopsy revealed a normocellular marrow with megakaryocytic hyperplasia with moderate myelofibrosis (WHO MF Grade 2) (see Figure 2).
case_images: BM trephine biopsy. Normocellular marrow with trilineage hematopoiesis (a). Reticulin staining showing no significant fibrosis (b).
case_images: CRIHEM2019-3879148.003.jpg
case_images: PMC6343163_01_CRIHEM2019-3879148.003.jpg
case_images: fig3
case_images: A repeat bone marrow biopsy was done four months after discharge, which revealed normocellular marrow with trilineage hematopoiesis with complete resolution of myelofibrosis and hemophagocytosis (Figure 3).