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P.M.

, aged 4 yrs years, consulted their fanily doctor because of a recurrent sor
e throat and cough. Her mother mentions unusual listlessness and anorexia. The p
hysician notices several bruises on her legs and arms and on on her back. the do
ctor orders a blood tests and course of antibacterial drugs. Test results indica
te a low hemoglobin level, thrombocytopenia, and a high lymphocyte count, with a
bnormally high numbers of blast cells. A bone marrow aspiration was done.

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