Acute monocytic leukaemia (M5a) was diagnosed in a 17-year-old Standar
dbred gelding with lethargy, intermittent pyrexia, oedema of the limbs
, harsh lung sounds and submandibular lymphadeopathy. Haematological f
indings included moderately severe anaemia, thrombocytopenia and a leu
cocyte count within the reference interval, but characterised by neutr
openia and numerous blast cells. Monocytic lineage of the cell populat
ion was suggested by examination of Wright-Leishman-stained blood and
bone marrow smears. A panel of cytochemical stains disclosed diffuse c
ytoplasmic alpha-naphthyl-acetate esterase activity which could be mar
kedly inhibited or abolished in all leukaemic cells by pretreatment wi
th sodium fluoride. In ultrastructural preparations of buffy coat, neo
plastic monoblasts had one to two nucleoli, dispersed chromatin, elong
ated mitochondria, scattered profiles of rough endoplasmic reticulum,
bundles of microfilaments and pseudopodia. More differentiated monocyt
oid cells had infrequent lysosomal granules.