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Bone marrow aspirate in megaloblastic anemia with cutaneous hyperpigmentation (2)

Bone marrow aspirate smears demonstrating erythroid hyperplasia and megaloblasts with giant, abnormal-shaped stab forms (thin arrow). This is consistent with a diagnosis of megaloblastic anemia (May-Grünwald-Giemsa staining x400). (Source: Padhi S, Sarangi R, Ramdas A, et al. Cutaneous hyperpigmentation in megaloblastic anemia: a five year retrospective review. Mediterr J Hematol Infect Dis 2016;8[1]:e2016021. Creative Commons Attribution 2.0 License.)

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