Pathnologic @pathnologic
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Hypersegmented neutrophil in a case of acute myeloid leukemia.

Dysplastic neutrophils are typically hypolobated but can be
Hypersegmented neutrophil ... Dysplastic neutrophils ... #AML #Clinical ... #Hematology #Pathology ... #Smear
How to distinguish a metamyelocyte from a band neutrophil.

- Kyle Bradley, MD
@KyleBradleyMD

#Clinical #Pathology #Microscopy #Blood #Smear
metamyelocyte from a band neutrophil ... KyleBradleyMD #Clinical ... #Pathology #Microscopy ... #Blood #Smear # ... Metamyelocytes #Bands #Neutrophils
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
peripheral-blood smear ... rhodesiense) (Panel B) #Clinical ... #Derm #Pathology ... #Smear #Microscopy ... TrypanosomaBrucei #NEJM
Rouleaux formation is common in IgM gammopathy and may be particularly striking

Genevieve Crane, MD, PhD@evemariecrane

#Rouleaux #formation
Rouleaux formation ... #Rouleaux #formation ... gammopathy #MGUS #Clinical ... #Pathology #Hematology ... #Smear
Plasma cell leukemia with extensive rouleaux formation. Aggressive disease & patients typically younger than other forms
extensive rouleaux formation ... leukemia #rouleaux #formation ... #Clinical #Smear ... #Hematology #Pathology
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
relapsing fever #Clinical ... #Pathology #BorreliaRecurrentis ... #Recurrentis #Smear ... #Microscopy #NEJM
Acute Rheumatic Fever with Erythema Marginatum - Painless, nonpruritic, red annular macules appeared on the upper
Rheumatic Fever with Erythema ... lymphocytes and neutrophils ... #Clinical #Derm ... #Pathology #Erythema ... ErythemaMarginatum #Microscopy #NEJM
Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs.
#Clinical #Derm ... #Pathology #Scabies ... Microscopy #Rash #NEJM
Megaloblastic neutrophils in bone marrow.

So-called "giant bands" and "giant metamyelocytes" (blue circles) are 1.5-2 times the
Megaloblastic neutrophils ... Megaloblastic #neutrophils ... #BoneMarrow #Smear ... #Hematology #Pathology ... #Clinical
Eyelid Melanoma - Despite conservative interventions, the stye had persisted and the skin had become noticeably
mitogenesis (Panel C) #Clinical ... #Pathology #Derm ... Melanoma #Microscopy #NEJM