A 28-year-old man visited his family physician because of the recent onset of malaise, enlarged cervical lymph nodes, oral lesions, tooth abscesses, and sore jaws. He also was experiencing fever, night sweats, a rash on the legs, and weight loss. A lymph node biopsy was performed; Hodgkin’s disease, lymphocyte predominant type was suspected. The patient was admitted to a referral hospital in July 1981, where a repeat lymph node biopsy ruled out Hodgkin’s disease. Laboratory results at that time were as follows.
Platelets - 513 x l09/l
pictures 1-3 show the Wright’s-stained peripheral
blood smear.
picture 1
picture 2
picture 3