PMC6442445_01
Hypersegmented neutrophils and hypochromic erythrocytes characteristic of a megaloblastic anemia. H&E stain. Magnification: 400x.
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fig1
Examination of a repeat peripheral blood smear was significant for hypersegmented neutrophils and moderate ovalocytes (Figure 1).
Significant lab values throughout hospital course and three months after initial therapy. Red arrows indicate the dates in which the patient underwent plasmapheresis. The blue arrow indicates the date in which B12 replacement was initiated.
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fig2
CBC values also normalized after therapy (Table 2 and Figure 2).