Contributed by Ramachandra Gullapalli, MD, PhD, Anne Shaheen MD and Lydia Contis, MD
PATIENT HISTORY
The patient is a 33 year old female who presented for a routine clinical evaluation during a twin pregnancy. The patient was asymptomatic otherwise and appeared to be in good health. The patient's gestational age was 22 weeks at clinical presentation. Routine laboratory investigation of the peripheral blood showed an absolute neutrophilia along with the following clinical laboratory values:
LABORATORY VALUES
MICROSCOPIC EXAMINATION