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09 April 2025 : Case report  USA

Imatinib-Induced Clinical Response in ETV6::ACSL6 Myeloid Neoplasm with Eosinophilic Pneumonitis: A Case Report

Unusual or unexpected effect of treatment

Fieke W. Hoff12ADEF*, Sharon Germans3BD, Olga K. Weinberg3BD, Robert H. Collins Jr.12BD, Rolando García ORCID logo3BD, Weina Chen3BD, Miguel D. Cantu ORCID logo3BD, Mingyi Chen ORCID logo3BD, Prasad Koduru ORCID logo3BD, Jeffrey SoRelle3BD, Yazan F. Madanat12ADE, Stephen S. Chung124ADEG

DOI: 10.12659/AJCR.946517

Am J Case Rep 2025; 26:e946517

Figure 2. Peripheral blood smear and bone marrow biopsy and aspirate in the present case. (A) Peripheral blood smear showing eosinophilia. (B) Hematoxylin and eosin-stained bone marrow biopsy with hypercellularity with myeloid predominance and eosinophilia (original magnification 100×). (C) Flow cytometry analysis of the bone marrow aspirate. Eosinophils are highlighted in red and account for approximately 14% of analyzed cells. The population of eosinophils demonstrate high side-scatter (corresponding to cytoplasmic complexity and granularity which is high in eosinophils) with bright expression of CD45 (common leukocyte antigen), CD34 (maturity marker that is negative in mature eosinophils), CD11b (positive in eosinophils), CD15 (positive in eosinophils and other mature myeloid cell), and dim CD33 (positive in eosinophils and neutrophils while monocytes are bright positive), and lack expression of HLA-DR (negative in eosinophils and positive in monocytes), CD10 (negative in eosinophils and positive in neutrophils), CD16 (negative in eosinophils and positive in neutrophils), and CD64 (negative in eosinophils, while monocytes are bright positive).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923