The presence of pancytopenia narrows the differential diagnosis ... The elevated alkaline phosphatase level could be due to mycobacterial liver disease or extramedullary hairy-cell leukemia.
Abdominal examination revealed an enlarged spleen and liver that were palpable 7 cm ... In light of her fevers, hepatosplenomegaly, and pancytopenia, the hematology-oncology service was consulted.
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