Hematology

B12-Deficiency Anemia: Neutrophil Hypersegmentation

A clinical case of B12-deficiency anemia: hypersegmented neutrophils, anisopoikilocytosis, schistocytes, and oval macrocytes in peripheral blood.

Anemia, with pronounced poikilocytosis and anisocytosis, from microcytes and schistocytes to macrocytes and megalocytes. Hypersegmented neutrophils. What diagnosis would you suggest?

🙏 The publication was kindly provided by KDL physician Nana Novikova, CHUZ “KB” RZD-Meditsina, Smolensk.