A 56-year-old man presented to the ED of an outside hospital with 2 days of bleeding gums and easy bruising. He denied episodes of melena, hematemesis, or hematuria and had no epistaxis. Routine blood work showed pancytopenia and evidence of diffuse intravascular coagulation. A bone marrow biopsy confirmed the diagnosis of acute promyelocytic leukemia. He was transferred to our hospital for treatment.
He had no medical history and was unaware of any familial medical problems. He did not drink alcohol and had never used tobacco products. He was originally from Haiti and had been working as a mental health worker for the previous 23 years.