Blood/Blood Cells and Cellular Components ›› Neutrophils ›› Abnormal


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Microscopic Features:
  • 3-4x larger than a mature RBC
  • High nuclear to cytoplasmic ratio
  • Round Nucleus with immature chromatin (not clumped)
  • Prominent nucleoli
  • Cytoplasm is scant, gray to pale blue and lacks granules
Normal % blood-PB, marrow-BM, lymphoid tissue-LN:
  • PB: None
  • BM: 1-3%
  • LN: None
May Resemble: Differential Diagnoses:

If in blood or increased numbers in bone marrow:
Acute myeloid leukemia (AML)
Myelodysplastic Syndromes (e.g. RAEB-I or II)
Myeloproliferative Neoplasms (e.g. CML with increased blasts)
Leukemoid reactions
Post GCSF therapy

Classic Immunophenotype:
  • CD34+
  • CD117+
  • HLA-DR+
  • CD13+
  • CD33+
  • CD15-
  • MPO+
Cartoon Image:

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  • Myeloblast with Auer rod is by definition abnormal and usually represents an underlying AML or high grade MDS (RAEB-II)

Content Editors/Website Administrators:
Hooman H. Rashidi, MD; John C. Nguyen, MD