Jurnal Hema Eva

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FIGURE 1: Left shifted neutrophils with clumped chromatin and toxic granulation (A), with pseudo-Pelger-Huet deformity (B and

C), with
pishaped nuclear deformity (D), and other abnormal shapes (E, F, and I) including ring neutrophils (G), and a fetus shaped
nuclear deformity (H). (Original magnification ×1000 oil immersion {A through I}.)

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Ly mphoc y te s

Microscopic examination showed increased


numbers of large granular lymphocytes,
lymphoplasmacytoid cells, and atypical
lymphocytes with abundant blue cytoplasm
(Figures 2A-2E).

FIGURE 2: Lymphocytes with abundant pale to dark blue cytoplasm


(A, B, and C), with lymphoplasmacytoid features (D and
E). (Original magnification ×1000 oil immersion {A
through E}.)
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Monocytes
Activated monocytes and monocytes with variable
abnormal shapes and cytoplasmic vacuolization were
seen (Figures 3A-3C).

FIGURE 3: Activated macrophages with


abnormal shapes and cytoplasmic
vacuolization.(Original magnification
×1000 oil immersion {A through C}.)

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Platelets
Platelets were adequate in number in the majority of
patients and platelet clumping was the most significant
finding noted (Figure 4).

FIGURE 4: Platelet clumps. (Original magnification


×1000 oil immersion.)
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Red blood cells
The red blood cells were normocytic and normochromic with
few nucleated red blood cells and coarse basophilic stippling
(Figure 5).

FIGURE 5: Red blood cell with basophilic


stippling. (Original magnification
×1000 oil immersion.)
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Red blood cells
The red blood cells were normocytic and normochromic with
few nucleated red blood cells and coarse basophilic stippling
(Figure 5).

FIGURE 5: Red blood cell with basophilic


stippling. (Original magnification
×1000 oil immersion.)
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Red blood cells
The red blood cells were normocytic and normochromic with
few nucleated red blood cells and coarse basophilic stippling
(Figure 5).

FIGURE 5: Red blood cell with basophilic


stippling. (Original magnification
×1000 oil immersion.)
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Red blood cells
The red blood cells were normocytic and normochromic with
few nucleated red blood cells and coarse basophilic stippling
(Figure 5).

FIGURE 5: Red blood cell with basophilic


stippling. (Original magnification
×1000 oil immersion.)
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