In review of the laboratory data for the patient in case 1, there was indeed a relative monocytosis with 0.09 monocytes noted on the peripheral smear.1 Dr Needles' point that a relative monocytosis can be a flag for the presence of granulomatous inflammation is well taken, as this was true in retrospective review in this clinical case.
Zsolway K. Unusual Pediatric Presentations of Sarcoidosis—Reply. Arch Pediatr Adolesc Med. 1998;152(10):1037. doi:
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