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Acute Myeloid Leukemia (AML)


The patient was a 49 year old man with a 2 week history of fever, weight loss and easy bruising. The graphical data of this patient show hardly any comparison with case 19 but also in this case it concerned a patient diagnosed with an acute myeloid leukemia, M2 type, indicating again how different the manifestation of acute leukemia can be.


The WBC was elevated and the WBC differential revealed predominantly neutrophils, but there was also an increase in monocytes (with an absolute blast of 7.89 x 10^9/L). The BLAST flag was set in combination with the IG/BAND flag, indicating the presence of immature cells of myeloid lineage. Leukocytosis was accompanied by anemia and thrombocytopenia.

Numerical Results

WBC 28.8 10e3/μL
NEU 16.856 58.393 % IG BAND
BLST 7.89 27.3 %
MONe 2.15 7.46 %
EOS .039 .135 %
BASO .039 .135 %
LYM 1.827 6.338 % BLAST

RBC 2.76 10e6/μL
HGB 8.13 g/dL
HCT 25.1 %
MCH 29.4 pg
MCHC 32.3 g/dL
RDW 18.8 %

PLT 38.1 10e3/μL
MPV 9.56 fL

CELL-DYN Ruby Casebook. Acute Myeloid Leukemia (AML). 2018. ADD-00005070. p.42
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