PMC3886083_01
Generalized gingiva enlargement.
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fig1
On intraoral examination generalised gingival enlargement was noticed (Figure 1).
Bluish gingiva and echymosis in floor of the mouth.
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fig2
Gingival was bluish in colour with presence of ecchymosis in the floor of the mouth (Figure 2).
Peripheral smear MPO Positive (Myeloperoxidase) myeloid cells.
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fig3
He was diagnosed with acute myeloid leukaemia (AML-M4) a day later by peripheral smear examination by special staining (Figures 3 and 4) and flow cytometry.
NSE Positive (Leukocyte nonspecific esterase) monocytoid cells.
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fig4
He was diagnosed with acute myeloid leukaemia (AML-M4) a day later by peripheral smear examination by special staining (Figures 3 and 4) and flow cytometry.
Flow cytometry (Positive for CD34, CD45, CD13, CD33, CD14, CD4, Anti-HLA DR,
CD11 and anti MPO).
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fig5
Further interpretation of these cells revealed strongly positive for CD45, CD13, CD14, and anti HLADR and moderately positive for CD4, CD34 and Anti MPO (Figure 5).