Primary Hematopoietic and Lymphoid Tissue ›› Bone Marrow ›› Abnormal

Pseudo Pelger Huet Neutrophil*


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Microscopic Features:
  • 2-3x larger than a mature RBC
  • Low nuclear to cytoplasmic (N/C) ratio (more cytoplasm than nucleus)
  • Nucleus is mature with 2 lobes connected by thin chromatin filament. Also the granules are neutrophilic (pink)
  • Nucleoli are absent
  • In some cases, hypergranulation, hypogranulation, or abnormal granules can be seen
  • Pseudo Pelger-Huet neutrophils are a form of dysplastic neutrophils
Normal % blood-PB, marrow-BM, lymphoid tissue-LN:
  • PB: Rare to None
  • BM: Rare to None
  • LN: None
May Resemble: Differential Diagnoses:

Associated with:
Myelodysplastic Syndrome (MDS)
Pelger Huet Anamoly (if they are true Pelger Huet cells)

Classic Immunophenotype:
  • CD45+
  • Lowered SCC
  • CD10+/-
  • CD11b+/-
  • CD13+/-
  • CD16+/-
Cartoon Image:



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RBC
for direct comparison

Misc:
  • Normal segmentation is 3-5 lobes while Hyposegmentation is <3 lobes and Hypersegmentation is >5 lobes The immunoprofile may be aberrant if it's dysplastic and associated with MDS



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