Images in Clinical Medicine

A Medical Mystery — A 71-Year-Old Man with Pancytopenia

Julia M. Braza, M.D., and Parul Bhargava, M.D.

N Engl J Med 2008; 359:1941October 30, 2008

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Article

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?

Julia M. Braza, M.D.
Parul Bhargava, M.D.
Beth Israel Deaconess Medical Center, Boston, MA 02215

Citing Articles (1)

Citing Articles

1. 1

   Braza, Julia M., Bhargava, Parul, . (2008) Medical Mystery: A 71-Year-Old Man with Pancytopenia — The Answer. New England Journal of Medicine 359:26, 2845-2846
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