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This report describes cytoplasmic abnormalities in monocytes from patients with AIDS. Visualized on Wright-stained peripheral blood smears, these abnormalities were not found in normal monocytes, monocytes from patients receiving chemotherapy, monocytes from patients with monocytosis related to non-HIV viral or bacterial infection, or monocytes from patients with monocytic leukemia (French-American-British [FAB] classification M4 or M5). The cytoplasmic abnormalities were detected on panoptically stained blood smears using an ordinary light microscope. As such, a medical technologist and pathologist can detect them as a part of reviewing peripheral blood specimens that are flagged by modern hematology analyzers. Materials and Methods As enumerated in [T1], from a total of 275 samples of peripheral venous blood samples anticoagulated with EDTA (no more than 2 hours old), peripheral blood smears were made in an automated slidemaker-stainer (Sysmex M) and stained with a modified Wright stain. In the study, 82 of the 275 samples were obtained from patients who were HIV positive by Western blot. Other samples used as controls for the study were not subjected to Western blot analysis. At the time that blood smears obtained from these samples underwent microscopic review, this author was aware that they were HIV positive. From all 82 patients, simultaneous samples were obtained for flow cytometry. At the time that the blood smears were being reviewed microscopically, the author was not aware of the CD4 values of the blood samples from which the slides were made. Of the 82 HIV-positive patients, 34 had CD4 counts less than 200/μL (0.2 × 109/L) and fit the current definition for AIDS.1 In 48 patients with abnormal lymphocyte subsets, CD4 counts were greater than 200/μL (0.2 × 109/L). For controls, blood smears were obtained from 66 hematologically normal persons and from 43 patients whose peripheral blood specimens were flagged by the analyzer for monocytosis (monocytes 2,000/μL [0.2 × 109/L] or greater). For HIV testing [cytology | hematology | immunology | virology] Cytoplasmic Abnormalities in Monocytes From Patients With AIDS

Cytoplasmic Abnormalities in Monocytes from Patients with AIDS