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Previous Volume 359:1941 October 30, 2008 Number 18 Next

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View larger version (87K): [in this window] [in a new window]   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.
Beth Israel Deaconess Medical Center
Boston, MA 02215

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

This article has been cited by other articles:

• Braza, J. M., Bhargava, P. (2008). Medical Mystery: A 71-Year-Old Man with Pancytopenia -- The Answer. NEJM 359: 2845-2846 [Full Text]