Patient, 47 years old, presented with progressive weight loss and weakness. Lymph nodes and spleen were not enlarged. Complete blood count: RWC 4.5×1012/L, HGB 120g/L, WBC 5.8×109/L, PLT 280×10^9/L, ESR 6 mm/hour. In the bone marrow aspirate, the number of lymphocytes was increased to 23.2% (N 4.3-13.7), with some showing irregular nuclear shapes and being larger than usual. Immunophenotyping and observation were recommended.
🙏 The publication was kindly provided by clinical laboratory physician Nana Novikova, CHUZ “CB” RZD-Medicine, Smolensk.
