A patient who has a persist leukocytosis, Dohle bodies, and an elevated LAP score most likely has a (an):

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The combination of an elevated white blood cell count (leukocytosis), Dohle bodies (which are cytoplasmic inclusions seen in the neutrophils), and an elevated leukocyte alkaline phosphatase (LAP) score suggests a leukemoid reaction. A leukemoid reaction can occur in response to a severe infection, inflammation, malignancy, or other stressors where the bone marrow is stimulated to produce more leukocytes. The Pelger-Huët anomaly is a benign inherited condition where neutrophils have bilobed nuclei instead of the typical segmented nuclei, but it does not cause an elevated white blood cell count or Dohle bodies. A parasitic infection or HIV infection may cause leukocytosis, but would not typically have an elevated LAP score or Dohle bodies.

A Patient Who Has a Persist Leukocytosis, Dohle Bodies, and an Elevated