PMC10032462_01
Ecchymosis and eczematoid lesions with bleeding in some lesions.
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During presentation, physical examination revealed ecchymosis and eczematoid lesions over the scalp, neck, chest and back, together with the upper and lower limbs, with bleeding in some lesions (Figure 1(a) and (b)).
Light microscopy of peripheral blood smear. (a) The slide shows the blood
smear with reduced erythrocytes (most are microcytic) with very few normal
staining platelets per field. (b) A field section with a platelet measuring
a radius of 1.16 microm/diameter of 2.32 microm. (c) A field section with a normal
staining platelet measuring a radius of 1.10 microm/diameter of 2.2 microm.
10.1177_26330040211009905-fig2.jpg
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The peripheral blood smear showed microcytic hypochromic red cells consistent with iron deficiency anaemia and a pancytopenia (Figure 2). The platelet diameter was quantified by computer-assisted image analysis using the Motic Easyscan Pro and the Motic DSAassistant software (Motic, Hong Kong, China). The mean platelet diameter was 2.28 microm (Figure 2(b) and (c)).