A 39-year-old man comes to the physician for a 3-month history of progressive fatigue and 15-lb weight loss. Laboratory studies and a blood smear are shown:
Hb 13 g/dL
WBC 24,000/μL
Neutrophils 52%
Metamyelocytes 5%
Bands 13%
Eosinophils 3%
Basophils 2%
Lymphocytes 14%
Myelocytes 11%
Platelets 450,000/μL
Which of the following is most likely to be seen in this patient’s condition?
