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Previous Volume 359:2845-2846 December 25, 2008 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The medical mystery in the October 30 issue¹ concerned a 71-year-old man with a 10-day history of dizziness, progressive lethargy, and confusion. A complete blood count showed pancytopenia (white-cell count, 2900 per cubic millimeter [normal range, 4000 to 11,000]; hemoglobin, 5.5 g per deciliter [normal range, 14 to 18]; hematocrit, 14.5% [normal range, 40 to 52]; and platelets, 56,000 per cubic millimeter [normal range, 150,000 to 440,000]) as well as macrocytosis (mean cell volume, 118 µm³ [normal range, 82 to 98], with a red-cell distribution width of 22,300 per cubic millimeter [normal range, 10,500 to 15,500]) and . . . [Full Text of this Article]

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