Acute Lymphoblastic Leukemia in a Child: Blasts in Blood Smear

A clinical case of acute lymphoblastic leukemia (ALL) in a 10-year-old child: 66% blasts in a blood smear, cytopenia, and masking as erysipelas.

Anna Guseynova 1 min October 9, 2024

Blood smear: a group of lymphoblasts with a high nuclear-cytoplasmic ratio

Blood smear: a lymphoblast with delicate chromatin and a narrow rim of basophilic cytoplasm

Blood smear: a single typical blast with scanty cytoplasm

Blood smear: a blast cell with a round nucleus and basophilic cytoplasm

Blood smear: a lymphoblast in the center of the field of view against a background of poikilocytosis

Blood smear: a blast with smooth nuclear contours and a narrow band of cytoplasm

Blood smear: a binucleated atypical blast against a background of pronounced echinocytosis

Blood smear: a round lymphoblast with a clearly defined nuclear membrane

Blood smear: two blast elements in the microscope field of view

Blood smear: several blasts with signs of cellular atypia

🔬 Blasts. A 10-year-old child was admitted to an infectious disease hospital with a diagnosis of erysipelas of the right parotid region. Laboratory tests showed leukocytes 13×10^{9, hemoglobin 108 g/L, platelets - 112 ×10}9. The blood smear revealed 66% blasts. The patient was transferred to a specialized hospital, to oncohematology. Diagnosis: ALL.

👉 This clinical case was kindly provided by Anna Guseynova, a clinical diagnostic laboratory physician. Blagoveshchensk, Amur Regional Infectious Disease Hospital.

Acute Lymphoblastic Leukemia in a Child: Blasts in Blood Smear

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