A 26-year-old man who had a kidney transplant in 2009 as a result of nephropathic cystinosis was examined for bicytopenia (platelet count, 98 × 109/L; hemoglobin, 113 g/L). May-Griinwald-Giemsa staining showed a normocellular bone marrow with numerous megakaryocytes without dysplastic features. Macrophages were profuse, and they contained abundant light gray hexagonal crystals of different sizes (panel B). These crystals appeared birefringent under polarized light (panel A), consistent with the diagnosis of cystinosis.
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机译:检查一名26岁的男子,该男子在2009年因肾病性胱氨酸病而进行了肾脏移植,检查了其血细胞减少症(血小板计数为98×109 / L;血红蛋白为113 g / L)。 May-Griinwald-Giemsa染色显示正常细胞骨髓中有大量巨核细胞,没有增生异常。巨噬细胞丰富,并且含有大量大小不同的浅灰色六方晶体(图B)。这些晶体在偏振光下(图A)呈现双折射,与胱氨酸病的诊断一致。
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