Age: 12 yrs Sex: Male
Complaining of: Pyrexia, body aches, joint pains, anorexia and weight loss for the past year.
Physical findings: Hepato-splenomegaly and generalized lymphadenopathy with anemia and pedal edema.
Clin. Diagnosis: Lymphoid reticular malignancy.

Lab. Findings:
Hb; 3 to 4.6 gm/dl, MCV- 98, MCH- 32, MCHC- 33.
WBC- 2.5 -to 4 thousand /mm3, Platelets- 24000 /mm3.
Peripheral blood smear: Neutropenia with occasional atypical leukoblasts, 2-3 % erythroid precursors & few tear drop cells.
S. Iron-265 and TIBC- 410 micro-gm / dl.

B. Marrow: Markedly hypocellular with evidence of myelofibrosis and significant number of atypical leukoblasts as shown in pictures.

Please, send your comments to: Dr. G.D. Mody Jaipur (India)
gdmody@eth.net