A previously healthy 28-year-old woman complains of bruising and red spots on her legs.
WBC 6.3 Band neutrophils
RBC 4.40 Seg neutrophils 55
Hgb 12.8 Lymphs 35
Hct 38.1 Monos 8
MCV 86.5 Eos 2
MCH 29.0 Basos
MCHC 33.5 Metamyelocytes
RDW 11.9 Myelocytes
PLT 6.0 Promyelocytes
1. Describe the peripheral blood findings.
2. What additional tests should be performed?
The results of the proposed additional studies were as follows
Bone marrow: Megakaryocytic hyperplasia with young forms
Coagulation tests:
All routine tests WNL
Bleeding time Increased
Platelet associated antibody (PAIgG): Positive
3. Based on all the data provided, what condition is most likely?
4. What information is most diagnostic?