PMC9834147_01
(A) Peripheral blood showing normochromic red cells with some hypochromic cells, (B) BM aspirate smears with different stages of granulocytic, vacuolated early precursors (arrowed) and late erythroblast with poorly developed cytoplasm (arrow head), (C) early precursor with cytoplasmic vacuolation, (D) late erythroid precursor with vacuolated poorly developed cytoplasm, (E) myelocyte with cytoplasmic vacuolation. Wright stain 1000x
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ccr36814-fig-0001
Cytoplasmic vacuolation was noted in a substantial number of the early erythroid precursors and poorly developed cytoplasm and vacuolation in late precursors (Figure 1).
Prussian blue stain on marrow aspirate smear. (A) Bone marrow particle with increased iron 400x, (B) ring sideroblasts with iron granules encircling the nucleus 1000x
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PMC9834147_01_CCR3-11-e6814-g003.jpg
ccr36814-fig-0002
Prussian blue stain on bone marrow aspirate smear revealed increased Iron in the stores and the erythroblasts with the presence of many ring sideroblasts comprising approximately (31%) (Figure 2).