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ASH Image Bank (2007); doi:10.1182/ashimagebank-2007-7-00004
Copyright © 2007 by the American Society of Hematology.
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Atlas Image Set

Dohle Bodies in the May-Hegglin Anomaly

Julia Braza, M.D., M.S.


Figure 1
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Figure 1. May-Hegglin anomaly is an autosomal dominant disorder characterized by: prominent Dohle bodies in granulocytic cells, poorly granulated giant platelets, and variable thombocytopenia that may cause purpura. In this figure, a neutrophil contains multiple prominent, light blue, round Dohle bodies, which are intracytoplasmic inclusions that consist of RNA.

 

Figure 2
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Figure 2. A giant platelet accompanies the neutrophil in this figure. The finding of large, well-stained inclusions in non-toxic neutrophils plus the presence of giant platelets is pathognomonic of the May-Hegglin anomaly. The Dohle body in this neutrophil is oval in shape, and located between the nuclear lobes.

 

Figure 3
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Figure 3. Dohle bodies may also be found in infection, where they tend to be smaller in size, and usually occur peripherally in the neutrophil, as opposed to in the May-Hegglin anomaly. Toxic granules and cytoplasmic vaculoles in the neutrophils are also seen in infection, and not in May-Hegglin anomaly.

 

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Related ASH-SAP Chapter:space logo
Chapter 15 : Hemostasis and thrombosis

This Article
Right arrow Figures Only
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PubMed
Right arrow Articles by Braza, J.
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Right arrow Phagocytic disorders - Chediak-Higashi, Pelger-Huet, May-Hegglin
Right arrow Related ASH-SAP Chapter
Right arrowRelated Image Bank Image Sets
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Copyright © 2007 by the American Society of Hematology.