A patient presents with a leukocyte count of 120 x 10⁹/L and splenomegaly.The blood smear reveals a shift to the left with promyelocytes and blasts.The platelets are increased, and the LAP is decreased.Which condition is associated with these results?

Question

Quizplus · Accepted Answer

The combination of leukocytosis with a left shift, splenomegaly, increased platelets, decreased LAP, and presence of promyelocytes and blasts on the smear are all consistent with chronic myeloid leukemia (CML). Bacterial infection and reactive chronic neutrophilia would not explain the presence of blasts and promyelocytes. A leukemoid reaction can mimic CML, but the LAP is typically elevated in a leukemoid reaction.

A Patient Presents with a Leukocyte Count of 120 X