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. 2022 Oct;97(10):1374-1380.
doi: 10.1002/ajh.26651. Epub 2022 Jul 19.

Thrombocytopenia, anasarca, and severe inflammation

Amanallah Montazeripouragha  1 , Christine M Campbell  1 , James Russell  2 , Nadia Medvedev  3 , Daniel R Owen  3 , Alison Harris  2 , Fergal Donnellan  4 , Iain McCormick  5 , David C Fajgenbaum  6 , Luke Y C Chen  7
Affiliations

Thrombocytopenia, anasarca, and severe inflammation

Amanallah Montazeripouragha et al. Am J Hematol. 2022 Oct.
No abstract available

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Conflict of interest statement

The authors have written permission from the patient to submit this manuscript for publication.In addition, the authors do not have any conflict of interest to disclose and did not receive any funding for publishing this manuscript.

Figures

Figure 1:
Figure 1:
Neutrophilia with left shift, monocytosis, and low platelets with occasional large form.
Figure 2A:
Figure 2A:
Axial CT image demonstrating soft tissue stranding within the greater omentum (yellow arrows) and small bowel mesentery (white arrows) in keeping with mesenteritis.
Figure 2B:
Figure 2B:
Coronal reformatted CT image demonstrating splenomegaly (yellow arrows) and ascites within both parabolic gutters (white arrows) and pelvis (blue arrows).
Figure 3:
Figure 3:
Bone marrow biopsy showing increase megakaryocytes and reticulin stain showing mild (Grade 1) fibrosis.
Figure 4:
Figure 4:
Excisional biopsy of cervical lymph node showing increased vascularity and polyclonal plasmacytosis (A, H&E, original magnification 100X). The arrow indicated a regressed germinal center (B, H&E, original magnification 200X).
Figure 4:
Figure 4:
Excisional biopsy of cervical lymph node showing increased vascularity and polyclonal plasmacytosis (A, H&E, original magnification 100X). The arrow indicated a regressed germinal center (B, H&E, original magnification 200X).
See this image and copyright information in PMC

References

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