Case Study

A 62-year-old male presented to his physician with petechiae, epistaxis and exhaustion. STAT blood work revealed a marked thrombocytopenia.


Laboratory Findings: Peripheral Blood

  • WBC

16.4 X 109/L

[4.0-10.0 X 109/L]

  • Hb

77 g/L

[135-170 g/L]

  • Plt

<10 X 109/L

[150-400 X 109/L]

 

Automated Differential: Peripheral Blood

  • Neutrophil

14.0X 109/L

[2.0-7.5 X 109/L]

  • Lymphocyte

1.5 X 109/L

[1.5-4.0 /109/L]

  • Monocyte

0.6 X 109/L

[0.2-0.8 X 109/L]

*Manual differential shows predominantly “monocytes” and 13% blast cells.


The bone marrow was sent for flow cytometric analysis. Refer to photomicrographs and discussion for bone marrow morphology. Listmode files and the corresponding antibody combinations are shown below.

 

Listmode ID 4-Colour Antibody Combination
Z0015159
*CONTROL Cells Only
FITC/PE/ECD/CD45PC5
Z0015160
CD8FITC/CD4PE/CD3ECD/CD45PC5
Z0015161
CD14FITC/CD16PE/CD45 ECD/CD64PC5
Z0015162
HLADRFITC/CD13PE/CD45ECD/CD15PC5
Z0015163
CD19FITC/CD10PE/CD45ECD/CD20PC5
  3-Colour Antibody Combination
Z0015164
BlankFITC/BlankPE/BlankECD/CD45PC5
Z0015165
CD8FITC/CD4PE/CD3ECD/CD45PC5
Z0015167
Intracellular control IgGFITC/PE/ECD/CD45PC5
Z0015168

Intracellular
MPOFITC/CD79PE/CD3ECD/CD45PC5

 

Intro
Photomicrograph
Discussion
Summary


©2004 QMPLS (Department of the OMA). All rights reserved