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Oncohematology

Acute Myeloid Leukemia: Blasts and Auer Rods in Blood

A clinical case of acute leukemia: hyperleukocytosis 181×10⁹/L, 97% blasts in the blood smear, Auer rods, and hematology analyzer scattergrams.

Yulia Gudkova Yulia Gudkova 1 min
Blood smear: cluster of blast cells with characteristic nuclear deformation
Blood smear: cluster of blast cells with characteristic nuclear deformation
Blood smear: group of blasts, mature leukocyte, and a disrupted cell
Blood smear: group of blasts, mature leukocyte, and a disrupted cell
Blood smear: blasts with "angel wing" nuclear morphology
Blood smear: blasts with "angel wing" nuclear morphology
Blood smear: pronounced blastosis and hyperleukocytosis in the field of view
Blood smear: pronounced blastosis and hyperleukocytosis in the field of view
Analyzer printout: WDF, WNR, and WPC channel scattergrams with blasts
Analyzer printout: WDF, WNR, and WPC channel scattergrams with blasts

⚠ 97% blasts and Auer rods

Female, 75 years old.

🔬 Complete Blood Count:

  • Leukocytes — 181.76 ×10⁹/L
  • Erythrocytes — 2.84 ×10¹²/L
  • Hemoglobin — 85 g/L
  • Platelets — 49 ×10⁹/L

🩸 In the peripheral blood smear — 97% blasts, some with Auer rods. Some cells have nuclei with “angel wings” morphology.

🙏 Material for publication was kindly provided by the physician of clinical laboratory diagnostics Yulia Gudkova, Moscow

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