PANCE Exam Practice Questions: Quiz 224

A 35-year-old female with systemic lupus erythematosus presents with purplish blotches under her skin. She has also felt extremely fatigued and increasingly weak. She has no pain. On physical examination, she is noticeably pale, with widely distributed purpura and petechiae, particularly on the extremities. She has no lymphadenopathy or hepatosplenomegaly. Initial laboratory testing shows pancytopenia with decreased reticulocytes. What is the most likely diagnosis?
- A. acute lymphocytic leukemia
- B. aplastic anemia
- C. hairy cell leukemia
- D. immune thrombocytopenia

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