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Commentary 5.

There is macrocytosis, anisocytosis, and poikilocytosis of the red cells, also a few fragmentary forms. The neutrophils show nuclear hypersegmentation, which also happens to make nuclear appendages more obvious; note the "drumstick" (inactivated X chromosome) of the lower neutrophil in the picture. The patient was suffering from Pernicious Anaemia, and made an excellent recovery with vitamin B12 treatment.

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