A patient presents with larger-than-normal neutrophils with hypersegmentation, macro- ovalocytes, and pancytopenia.This may be an indicator of:

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The presence of larger-than-normal neutrophils with hypersegmentation, macro-ovalocytes, and pancytopenia are all characteristic of megaloblastic anemia, which is usually caused by vitamin B12 or folate deficiency. Pelger-Huët anomaly is a genetic abnormality that results in hyposegmentation of neutrophils. Myeloproliferative disorders typically present with increased production of one or more blood cell types. Infection may cause changes in white blood cell counts and morphology, but the specific changes described in the question are not typically associated with infection.

A Patient Presents with Larger-Than-Normal Neutrophils with Hypersegmentation, Macro- Ovalocytes