👉Clinical case from a subscriber: ACUTE MYELOID LEUKEMIA IN A 66-YEAR-OLD WOMAN ❗MEDICAL HISTORY: ✅14.08.23 Fever, swelling, and tenderness of the gums without symptoms of acute respiratory infection. Called an ambulance, temperature symptomatically reduced. Visited a doctor at her place of residence. ✅18.08.23 Amoxicillin #10. Mouth rinsing with antiseptic with positive dynamics. Temperature remained up to 37.5 C. ✅First CBC on 21.08: Leukocytosis 150 x 10³/µL. Blastemia 3% ✅CBC from 28.08.23: in photos 7-8 (leukocytosis 258 x 10³/µL). 🙍♀EXAMINATION Liver and spleen not palpable. Skin normal. Other data in photo #9. 🔬MICROSCOPY: 🩸Peripheral blood photos 1-6 🦴Myelogram: cellularity 250 x 10³/µL, blasts 82%. Cytochemistry: lipids in 90% of blast cells. 🧪Laboratory tests from 30.08 LDH - 693 U/L Electrolytes within normal limits Alkaline phosphatase - 30 U/L GGT - 32 U/L AST - 22 U/L ALT - 14 U/L Bilirubin - 9.7 µmol/L Uric acid - 248 µmol/L Albumin 31.7 g/L Total protein - 61 g/L CRP - 34 mg/L Glucose 6.9 mmol/L Urea - 4.1 mmol/L Creatinine - 109 µmol/L Parainfluenza virus 4 RNA detected ✅Bone marrow PCR and IFT - in photo #9. 👉Clinical case kindly provided by laboratory physician - Yulia Kaliberda
Acute Myeloid Leukemia Diagnosis: A Clinical Case Study
A clinical case of acute myeloid leukemia (AML M2) featuring blastemia, hyperleukocytosis, blood smear morphology, and bone marrow immunophenotyping and PCR results.
