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Pulmonary, Critical Care, and Sleep Pearls |

A 56-Year-Old Man With Acute Promyelocytic Leukemia and Pulmonary InfiltratesAcute Leukemia and Pulmonary Infiltrates

David C. Weir, MD; Jennifer Y. Fung, MD; Sidney S. Braman, MD, FCCP
Author and Funding Information

From the Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

CORRESPONDENCE TO: Sidney S. Braman, MD, FCCP, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1232, New York, NY 10029; e-mail: sidney.braman@mssm.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(3):e88-e91. doi:10.1378/chest.14-0283
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Extract

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.

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