Haematology Education Center Slide

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Commentary 7.

There is increased background staining, due in this instance to the presence of a large amount of IgG myeloma protein in the serum. The abnormality is emphasised by the small "tear" in the plasma layer. Amyloid has a tendency to infiltrate the volar carpal tunnel and associated ligaments, thereby contributing to median nerve compression.

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Problem 7. Supporting data: A woman aged 55 years suffering from bilateral carpal tunnel syndrome. Hb = 10.5 g/dl. Examine the photomicrograph of her blood film noting your findings and conclusions.