Peripheral blood cell morphology quiz
Case: 52 years old shop keepr from Rotterdam has high fever and bruices in her legs and arms. She has been very weak and lost her appetite a week ago. She went to the primary healthcare center and basic blood test were taken. CRP was 35 mg/L, Hb 104 g/L and leukocytes 18.2 x10
9/L. Peripheral blood smear was sent to central lab and the typical findings are in the image below.
Can you identify these three cells (A, B and C)?
Correct anser is below the image.
(Click image to enlarge)
Correct answer: All three cells are lymphocytes. A: Plasmacytoid lymphocyte, B: Malignant lymphocyte with crystalline inclusion, C: Reactive lymphocyte.