Scientific Image Gallery
<p>PMF (also called CIMF) in the fibrotic stage with a leucoerythroblastic blood picture (May-Grünwald-Giemsa stain): In this patient immature granulocytes, erythroblasts and many teardrop cells (->) were found. In the fibrotic stage there is usually anaemia present and a low to normal or reduced platelet count. Myeloblasts might be present. But more than 10% already indicate blast cell excess or transition into AML. </p>
<p>This peripheral blood film (May-Grünwald-Giemsa stain) is from a patient with PMF (also called CIMF) in the prefibrotic stage. You can see scattered teardrop cells (->). Furthermore, a few granulocytic precursors and very few erythroblasts were detected (not shown). The automated cell count showed slight leukocytosis, thrombocytosis and anaemia.</p>
<p>Cell description: </p> <p>Size: 10-18 µm, smaller than lymphoblast </p> <p>Nucleus: round with coarser structure than a lymphoblast, one distinct nucleolus </p> <p> Cytoplasm: blue without granules </p>
<p>EDTA blood of a female patient with a transitional form of chronic lymphocytic leukaemia/prolymphocytic leukaemia. The three large cells are prolymphocytes, the smaller ones are lymphocytes.</p>
<p>Cell description: </p> <p>Size: bigger than monoblast </p> <p>Nucleus: oval, kidney-shaped or lobulated, diffuse chromatin pattern, sometimes with nucleoli </p> <p>Cytoplasm: pale basophil with fine azurophil granula. </p> <p>Cell division is still possible.</p>
<p>Cell description: </p> <p>Size: 15-25 µm </p> <p>Nucleus: oval with identifiable nucleoli and diffuse chromatin structure Cytoplasm: basophilic with visible golgi-zone and eye-catching azurophil granula (primary granulation)</p>
<p>Pseudo-fragmentocytes: artefacts due to mechanical abrasion close to a scratch.</p>
<p>These so-called 'pseudo-Pelger's nuclear anomalies' with abnormal chromatin condensation and/or deficient nuclear segmentation are often found with viral infections, after chemotherapy, or with a myelodysplastic syndrome (MDS). Conversely, the true Pelger's nuclear anomaly is hereditary and without pathological significance.</p>
<p>Large red blood cell with basophilic stippling (between the two lymphocytes) in a case of auto-immune haemolytic anaemia (AIHA). To the right, next to the lower lymphocyte, there is a polychromatic red blood cell.</p>