A 54-year-old woman complains of increasing fatigue and easy bruising of 3 weeks' duration. Physical findings included pale, scattered ecchymoses and petechiae and mild hepatosplenomegaly. Blood count: RBC- 2,5 × 1012//; Hb - 73 g/l; Ht - 20%; PLT- 23 × 109//; and WBC-162 × 109// with 82% blasts, that contained Auric rods; peroxidase stain was positive. What is the most probable diagnosis?

Answer options

1. Hemolytic anemia
2. Chronic leukemia
3. Thrombocytopenia
4. Megaloblastic anemia
5. Acute leukemia

Explanation

A 54 year old woman complains of increasing fatigue and easy bruising of 3 weeks duration. Physical findings included pale, scattered ecchymoses and petechiae and mild hepatosplenomegaly. Blood count: RBC- 2,5×1012/l; Hb - 73 g/l; Ht - 20%; PLT- 23×109/l; and WBC- 162×109/l with 82% blasts, that contained Auric rods; peroxidase stain was positive. What is the most probable diagnosis? Blast cell (abnormal immature white blood cells fill the bone marrow and spill into the bloodstream).found in acute leukemia.