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67-year-old male with no significant medical history was admitted with complaints of chronic fatigue, splenomegaly, and gingival bleeding for the past six months. On admission, our patient was pancytopenic with a critical platelet count of 15 K and mean corpuscular volume of 102. Work-up for medication-induced, infectious, and malignant etiologies were pursued.

A Case of Hypergranular Acute Promyelocytic Leukemia (French- American-British Classification M3)