PMC8369956_01
Leishman stained bone marrow aspiration smear showing cellular spicules and cell trails with reduced megakaryocytes.
10.1177_2333794X211038724-fig1.jpg
PMC8369956_01_10.1177_2333794X211038724-fig1.jpg
fig1-2333794X211038724
At this stage of clinical course a bone marrow aspiration was done which showed reduced megakaryocytes which raised the possibility of amegakaryocytic thrombocytopenia of congenital or acquired etiology (Figure 1).
Hematoxylin and eosin stained bone marrow biopsy section showing erythroid and myeloid precursors.
10.1177_2333794X211038724-fig2.jpg
PMC8369956_01_10.1177_2333794X211038724-fig2.jpg
fig2-2333794X211038724
The repeat bone marrow aspiration with biopsy confirmed amegakaryoctopoiesis (Figure 2).