Pathnologic @pathnologic
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Rouleaux formation is common in IgM gammopathy and may be particularly striking

Genevieve Crane, MD, PhD@evemariecrane

#Rouleaux #formation
Rouleaux formation ... evemariecrane #Rouleaux ... Clinical #Pathology #Hematology
Plasma cell leukemia with extensive rouleaux formation. Aggressive disease & patients typically younger than other forms
with extensive rouleaux ... PlasmaCell #leukemia #rouleaux ... Clinical #Smear #Hematology
Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.
cytoplasmic trichohyalin granules ... Pathology #Microscopy #Dermatology
Acute promyelocytic leukemia (blood). Typical morphologic features are bilobed ("butterfly") nuclei with dispersed chromatin, subtle to
overt cytoplasmic granules ... APML #Pathology #Hematology
These are granular casts, with a roughly rectangular shape.
#Clinical #Urine #Microscopy #Granular #Casts #GranularCasts
These are granular ... #Clinical #Urine ... #Microscopy #Granular
Autoagglutination should also be distinguished from “Rouleaux formation” wherein normal blood tends to form stacks on
distinguished from “Rouleaux ... Smear #Microscopy #Rouleaux ... #Formation #Hematology
Pretty good example of Pemphigus Vulgaris. DIF shows intercellular IgG binding throughout entire epidermis. Note there’s
like it has a granular ... Pathology #Microscopy #Dermatology