Myeloid Neoplasms in the Guise of Nutritional Deficiency
Figure 2
(a) Blood smear displaying anisocytosis and “tear drop” red cells. (b) BM biopsy showing hypercellular areas and distended marrow sinusoids. Megakaryocytes appear prominent even at low magnification. H&E 4x scanner. (c) BM biopsy illustrating increased number of atypical megakaryocytes against a hypercellular background. The “cloudy” nature of megakaryocyte nuclei is evident. H&E 45x. (d) grade 2/4 reticulin fibrosis highlighted by silver staining.
