| CASE REPORT |
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| Year : 2017 | Volume
: 1
| Issue : 2 | Page : 43-45 |
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Acute lymphoblastic leukemia with normal platelet count
Reema Bhushan, Kiran Agarwal, Jyoti Garg
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
India
 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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