0
A 2 3-year-old female patien t presen ts wi th com plai n ts of "spots on my legs ." She has been in her normal state of health recen tly with the exception of cold symptoms that las ted for 5 days and have now resolved . Complete blood count shows hemoglobin of 1 LJ.5g/dl. leukocyte count of 8.900/,LLL. and platelet count of 1 3 ,000/,LLL. Photographs of the patient and her peripheral blood smear are shown below.
The peripheral blood smear in a patient with immune thrombocytopenia would most likely dem-onstrate which of the following abnormal findings?
- Rouleaux formation
- Large platelets
- Schistocytes
- Howell-Jolly bodies
- Nucleated red blood cells
Medicine
B. The peripheral smear of a patient with ITP may show large platelets, consistent with a bone marrow response of accelerated platelet release. Rouleaux is seen commonly in multiple my-eloma, schistocytes in TTP and Howell- Jolly bodies in splenectomized patients or those with hemo-lytic or megaloblastic anemia, and nucleated red blood cells in conditions of hemolysis or marrow replacement.
need an explanation for this answer? contact us directly to get an explanation for this answer