TY  - CHAP
M1  - Book, Section
TI  - THE ACUTE MYELOID LEUKEMIAS
A1  - Hillman, Robert S.
A1  - Ault, Kenneth A.
A1  - Leporrier, Michel
A1  - Rinder, Henry M.
Y1  - 2016
N1  - 
T2  - Hematology in Clinical Practice, 5e
AB  - CASE  HISTORY  •  Part  1A  28-year-old  man,  previously  in  excellent  health,  presents  with  a  2-week  history  of  fatigue  and  worsening  fever.  He  has  been  convinced  by  his  family  to  seek  medical  attention  because  of  noticeable  pallor  and  the  recent  onset  of  a  petechial  rash  on  his  extremities.  His  physical  examination  is  remarkable  for  pallor,  the  petechial  rash,  pharyngitis,  and  gingivitis.  He  does  not  have  lymphadenopathy  or  hepatosplenomegaly,  and  the  remainder  of  the  examination  is  unremarkable.CBC:  Hematocrit  19%  WBC  32,000/μLDifferential:  Neutrophils  -  0%  Monocytes  -  2%Lymphocytes  -  13%  Cells  identified  by  an  automated  counter  as  immature  -  85%Platelets:  14,000/μLSMEAR  MORPHOLOGYMature  neutrophils  are  not  seen.  Platelets  are  markedly  decreased,  but  red  cell  morphology  is  normal.  The  immature  cells  are  large,  with  an  open  nuclear  chromatin  pattern,  prominent  nucleoli,  and  few  granules.  In  rare  cells,  one  or  more  red  staining,  rod-shaped  objects  can  be  found  (Auer  rods).QuestionsWhat  further  history,  examination,  and  laboratory  evaluation  is  indicated?What  should  be  the  pace  of  this  workup?  
SN  - 
PB  - McGraw-Hill Medical
CY  - New York, NY
Y2  - 2024/04/18
UR  - hemonc.mhmedical.com/content.aspx?aid=1127767007
ER  -