Image of the Week: Fever, Pallor, and Chronic Fatigue - Clinical Advisor

Image of the Week: Fever, Pallor, and Chronic Fatigue

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A 17-year-old girl presents with a high fever, ecchymoses on her trunk, and a 5-month history of generalized fatigue. On examination, her skin appears pale. A peripheral blood smear demonstrates pancytopenia and bone marrow aspirate contains 35% blast cells. Based on this patient’s clinical presentation and bone marrow aspirate, what is the most likely diagnosis?

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