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Case
4 (Slide BX221)
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This is
a 28 years old lady.
Complaints : Joint pains at fingers.
Examination : No abnormalities detected.
FBP : HB 12.7 MCV 85 MCH 30 MCHC 32
Plataelet 110,000 WBC 3200
PBF (X40) : Several
fibrin clumps/strands with trapped platelets and white cells.
Diagnosis : This is a partially-clotted sample which
may have caused a falsely low platelet and WBC counts. Will
need to repeat with a fresh, properly-collected sample. |
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Case
7
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Slide:
RBC rosette
59/Female
History : No previous medical history. Came
for health screening.
Hb:9.3 gm%. Cold Agglutinin Test : Negative. Total Bilirubin:2.0
gm/dl |
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Haematologist comment : Rbc rosettes are rare but may
occur in healthy people especially if they are of blood group A or B.
Some of the other causes are various infections like malaria, Borrelia
or leptospirosis and in antibody mediated hemolysis. In this case, acquired
hemolytic anaemia needs to be considered as the Hb is low and the bilirubin
is raised. Further tests to determine the presence of hemolysis may include
conjugated and unconjugated bilirubin levels, reticulocyte counts, urine
hemoglobin, serum haptoglobin levels and antiglobulin test.
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