Sea-blue-colored histiocytes associated with bone marrow granulomas.
نویسنده
چکیده
A 77-year-old man was admitted for evaluation of pancytopenia. His blood examination revealed hemoglobin 9.7 g/dL, platelet count 149 3 10/L, and white blood cell count 3.2 3 10/L with normal differential. Peripheral blood smear showed red blood cells with anisocytosis, microcytes, and teardrop-shaped cells. There was mild leukopenia with relative monocytosis and normal platelets. Bone marrow biopsy showed 30% to 40% cellularity with absent iron stores and multiple granulomas with macrophages (panel A). No foreign bodies or caseous necrosis were noted. Most remarkably there were several macrophages with sea-blue–colored granules (panel B). Stains for fungus and acid-fast bacillus were negative. Cytogenetics did not reveal any abnormalities.
منابع مشابه
Sea blue histiocytosis: a common abnormality of the bone marrow in myelodysplastic syndromes.
AIMS To determine whether myelodysplastic syndromes (MDS) are associated with sea blue histiocytosis in the bone marrow. METHODS A retrospective review of bone marrow aspirates from 35 patients presenting consecutively with MDS and from 20 patients with each of the following: normal marrow appearance (routine staging for non-Hodgkin's lymphoma), polycythaemia rubra vera, immune thrombocytopen...
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متن کاملIs it a sea-blue histiocyte?
In the “Images in Hematology’’ section of the Journal, And›ç et al. [1] briefly presented sea-blue histiocytes in a 45-year-old woman with type B Niemann-Pick disease [2,3]. I believe the cell photographed by the authors is fairly typical for Niemann-Pick disease with few nuclear remnants and superimposed lymphocytes. In my opinion, it is not typical for sea-blue histiocytes. We have seen sea-b...
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عنوان ژورنال:
- Blood
دوره 122 4 شماره
صفحات -
تاریخ انتشار 2013