Intra-leukocytic hemosiderin inclusions detected as pseudoeosinophils by automated depolarization analysis in a patient with beta-thalassaemia major and immune hemolysis

Blood Cells Mol Dis. 2005 Mar-Apr;34(2):162-5. doi: 10.1016/j.bcmd.2004.12.005.

Abstract

This report describes a patient with intra-leukocytic hemosiderin inclusions associated with iron overload and acute infection. These inclusions resulted in a false identification of eosinophils rather than neutrophils using an automated analyzer. The analyzer interpreted the aberrant increased depolarization as a reflection of eosinophils. No eosinophils were found by examination of the blood smear. The implications for the hematology morphologist is that visual inspection of a blood smear is nearly always indicated whenever any departure from strict normality is noted in the output from an automated blood cell counter.

Publication types

  • Case Reports

MeSH terms

  • Eosinophils / pathology*
  • Erythrocyte Transfusion
  • Hemosiderin / analysis*
  • Humans
  • Infant
  • Iron Overload / blood*
  • Leukocyte Count
  • Leukocytes / pathology
  • Male
  • Neutrophils / pathology
  • Neutrophils / ultrastructure
  • Platelet Count
  • beta-Thalassemia / blood*

Substances

  • Hemosiderin