An unusual Presentation of Atypical Lymphocytosis
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2018, Vol 4, Issue 2
Abstract
ABSTRACT : A 2 years old boy presented with cold, cough, fever ( respiratory distress) for 5 days and irritability for 3 days. On examinaon he had marked Pallor with hepatosplenomegaly. He was referred to the haematology depart-ment for work up. Complete Blood Count with Peripheral Blood film examinaon suggesve of Acute Lym-phoblasc Leukaemia. Atypical immature blasts are seen in peripheral blood. They have irregular nuclear outline with convoluons. RBCs show dismorphic cell populaon. Bone marrow aspiraon showed presence of blast cells, fine nuclear chroman with presence of nucleoli. Chest X ray revealed Hilar prominence. Morphologic findings are those of acute leukemia, possibly Acute lymphoblasc leukaemia (ALL) but Flow cytometry sug-gesve of 16% immature myelomonocyc precursor cells with monocyc differenaon.On follow up aer 3 months no. of blasts cells and monocyc cells has come down significantly suggesng reacve cause of previ-ous proliferaon exclude noninfecous causes(usually a hematologic malignancy).
Authors and Affiliations
Priyanka Prasad
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