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Images in Clinical Medicine
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Volume 359:1941 October 30, 2008 Number 18
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A Medical Mystery — A 71-Year-Old Man with Pancytopenia

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A 71-year-old-man presented to the emergency department with dizziness, progressive lethargy, and confusion, which he reported having had for the past 10 days. A complete blood count showed pancytopenia. A peripheral-blood smear (Panel A) and bone marrow aspirate (Panel B) are shown. What is the diagnosis?


Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the December 25, 2008, issue and e-mail it to everyone who submits an answer. All answers must be received by November 12, 2008.

 

Julia M. Braza, M.D.
Parul Bhargava, M.D.
. . . [Full Text of this Article]


Related Letters:

Medical Mystery: A 71-Year-Old Man with Pancytopenia — The Answer
Braza J. M., Bhargava P.
Extract | Full Text | PDF  
N Engl J Med 2008; 359:2845-2846, Dec 25, 2008. Correspondence

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