Hematologists and other healthcare professionals regularly share new and fascinating cases to . Here are five of the most interesting medical cases in hematology causing buzz in the community.
#5.
This blood smear shows, according to 乐播传媒 members, 鈥渁 fantastic example鈥� of auer rods present in a patient diagnosed with acute promyelocytic leukemia (APL).
#4.
The fourth most interesting hematology-related medical case shows a pseudo tumor in a patient with hemophilia. According to the 乐播传媒 member who shared the case, the patient did not receive regular factor therapy for their hemophilia, which caused 鈥渞epeated bleeding in the area鈥�. Repeated bleeding in the muscle eventually led to bone issues and the patient鈥檚 leg was amputated.
#3.
A patient with Von Willebrand disease sustained this injury from a dirt biking accident. Several 乐播传媒 members warned that a reduction was needed immediately: 鈥淚 would reduce the fracture ASAP and apply light dressing and refer to a foot and ankle specialist for delayed repair of syndesmotic injury. During acute phase, watch out for compartment syndrome,鈥� a podiatrist offered. Another podiatrist cautioned, 鈥淐losed reduction in the ED may not even work, this is pretty unstable. If unsuccessful, needs to go to the OR to put on a delta frame.鈥�
#2.
In this case, we see the clubbed fingers of a patient with sickle cell disease. One study deemed clubbed fingers part of the 鈥� that may indicate shortened survival in such patients”.
Several 乐播传媒 members commented that this was one of the most extreme examples of clubbed fingers they鈥檇 seen.
#1.
In the most interesting hematology medical case, an internal medicine physician shared the case details of a 15-year-old patient with a longstanding history of anemia requiring several blood transfusions. The patient’s younger sibling also has anemia. Additional details included:
- Jaundice
- Dysmorphic features
- Gray hair
- Small palpebral fissure
- Leukoplakia
- Normal IQ and developmental milestones
- Hepatosplenomegaly
- Ectopic kidney
- Normochromic normocytic with normal to high MCV
- Hemoglobin electrophoresis with slightly raised fetal Hb
- Negative Coomb鈥檚 test
- Slightly raised retic count
- Indirect hyperbilirubinemia
- Normal liver enzymes
Several 乐播传媒 members chimed in with differentials, including Fanconi syndrome, Diamond-Blackfan anemia, hemolytic anemia, and sickle cell disease.
Published February 5, 2024
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