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Year : 2017  |  Volume : 1  |  Issue : 2  |  Page : 43-45

Acute lymphoblastic leukemia with normal platelet count

Department of Pathology, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Dr. Reema Bhushan
151, Harsukh Apartment, Plot No. 4, Sector 7, Dwarka, New Delhi - 110 075
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/oji.oji_14_17

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B-acute lymphoblastic leukemia (ALL) often presents as pancytopenia/bicytopenia with thrombocytopenia being very common. A 15-year-old child with high-grade fever showed bicytopenia on peripheral smear with 10% blasts. Bone marrow examination showed 65% lymphoblasts which were negative for myeloperoxidase. The blasts suppressed the erythroid population but not the megakaryocytic population. On flow cytometry, a diagnosis of common – ALL antigen-positive B – precursor ALL was given. To conclude, ALL cannot be excluded in patients who present with a normal platelet count. A bone marrow aspirate is crucial in patients with bi/pancytopenia.

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