Pseudo Pelger-Huet anomaly is a hematological condition characterized by the presence of neutrophils with bilobed ("pince-nez") nuclei in peripheral blood smears. This anomaly is often acquired and not inherited, distinguishing it from the true Pelger-Huet anomaly. It is associated with a variety of conditions, including myelodysplastic syndromes, leukemias, and certain infections or drug exposures.