Case #274 – April, 2010

A patient from Pakistan was admitted to a medical facility with non-cirrhosit portal hypertension, hepatic vein thrombosis, IVC stenosis and respiratory failure. No eosinophilia was reported at the time patient was admitted, but was present at 7% the next day. A blood smear was made at midnight and stained with Wright-Giemsa. Figure A shows what was observed by the attending pathologist at 1000x magnification. What is your diagnosis? Based on what criteria?

Figure A

Images presented in the DPDx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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