PMC8275415_01
Peripheral blood smear: (a) mature eosinophil with hypogranulation and prominent vacuoles and (b) a blast with rare azurophil granules. Wright-Giemsa stain: 1000x.
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PMC8275415_01_CRIHEM2021-5574766.001.jpg
fig1
The remainder of the differential was significant for 44% neutrophils, 5% lymphocytes, 4% monocytes, 2% basophils, and 13% blasts (Figure 1).
Bone marrow aspirate (BMA) and bone marrow biopsy (BMB): hematoxylin and eosin; 400x: (a) several agranular blasts and (b) numerous eosinophils and immature myeloid precursors.
CRIHEM2021-5574766.002.jpg
PMC8275415_01_CRIHEM2021-5574766.002.jpg
fig2
Bone marrow aspirate and biopsy showed acute myeloid leukemia, minimally differentiated, with prominent eosinophilia and 28% blasts (Figure 2).