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Clinical Case 22
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A 72-year-old man presents to your office for follow-up after a recent hospitalization for pneumonia. He is now 6 weeks out and feels well. But while he was in the hospital, he had an increased WBC with lymphocytosis. You repeat his CBC and find a WBC of 18,000/mm3, with 80% lymphocytes, hemoglobin of 14g/dl, and a platelet count of 200,000/mm3. You review office records from a visit 1 year ago and find a WBC of 14,000/mm3 with 76% lymphocytes. You send his peripheral blood for flow cytometry, which is consistent with a diagnosis of chronic lymphocytic leukemia (CLL).



1

Which of the following statements about this patient is INCORRECT?
A)This patient is at risk for the development of hemolytic anemia.
B)This patient is at risk for infection.
C)This patient is likely to experience a relatively benign disease course.
D)This patient should be started on chemotherapy.
E)This patient may develop "B symptoms" (fever, night sweats, weight loss).







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