Hematology

Neutrophil Pseudo-Pelger-Huët Anomaly in Sepsis

Neutrophil morphology in sepsis: differential diagnosis of metamyelocytes and pseudo-Pelger-Huët anomaly in blood smears and scattergrams.

🙏 Colleagues, please help differentiate these cells. Opinions are divided. Sepsis. Some believe: 1 - band neutrophil; 2,3 - monosegmented (Pelgerization of neutrophils); 4 - segmented neutrophil. The second opinion: 2,3 - metamyelocytes.

👉 The images were kindly provided by Vera Kirnas, Biologist, Clinical Diagnostic Laboratory, F.S. Ankudinov Yuzhno-Sakhalinsk City Hospital.