Published in:
01-04-2020 | Fifth Disease | Images
Erythrophagocytosis by Neutrophil and Monocyte in Autoimmune Hemolytic Anemia After Infection
Published in: Indian Journal of Hematology and Blood Transfusion | Issue 2/2020
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A 78-years-old lady presented with intermittent fever for 1 month, twitching of the limbs, urinary incontinence and hematuria for 1 day. Laboratory tests showed hemoglobin of 89 g/L, total leukocyte count-21.83 × 109/L with 85% neutrophils. Total bilirubin (53.49 μmol/L) and indirect bilirubin (32.08 μmol/L) were elevated. The peripheral blood smear showed erythrophagocytosis by neutrophil and rare monocytes (Fig. 1a–c) as well as Dohle bodies and vacuolar degeneration within neutrophils (Fig. 1d).
Fig. 1
a–c Showed the erythrophagocytosis by neutrophil and monocyte on peripheral blood smear; d showed the typical Dohle bodies (red arrow) and vacuolar degeneration within neutrophils showing erythrophagocytosis on smear (Wright–Giemsa stain, 1000 ×) (color figure online)
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