This week’s case features a 14-year-old male who had just celebrated his birthday when he presented to hospital with an abnormal full blood count and some concerning symptoms. A blood film was requested for review.
Full blood count result:
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WBC: 81.25 ×10⁹/L
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RBC: 1.08 ×10¹²/L
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Haemoglobin: 114 g/L
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HCT: 0.333
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MCV: 81.6 fL
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MCH: 27.9 pg
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MCHC: 342 g/L
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RDW: 14.3%
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Platelets: 61 ×10⁹/L
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MPV: 10.2 fL
Blood film images:
What do you think it could be? Diagnosis will be shared at the end of the week as always!