Hematology

Giant Neutrophils in Bone Marrow with B12 Deficiency

A clinical case of severe vitamin B12, folic acid, and iron deficiency: giant cells with hypersegmented nuclei in a bone marrow smear.

Bone marrow smear: giant cells with pronounced nuclear hypersegmentation
Bone marrow smear: giant cells with pronounced nuclear hypersegmentation

Bone marrow with the presence of very large cells and pronounced hypersegmentation

Clinical information A 2-year-old girl with severe malnutrition and a history of acute B-cell lymphoblastic leukemia

Biological information Severe deficiency of all maturation factors (vitamin B12, folic acid, and iron)

Sample type Bone marrow

Staining type May-Grünwald-Giemsa

Authors Sarrate García, Edurne; Casanova Galán, Evelyn

Workplace Hospital Sant Joan de Déu, Barcelona, Spain