A 14-year-old boy is evaluated by the physician. His vitals are normal. Laboratory studies are shown:
Hemoglobin 14 g/dL
Leukocytes 7,000/μL
Platelets 250,000/μL
Bleeding time 8 minutes
Prothrombin time 12 seconds
Partial thromboplastin time 50 seconds
Which of the following is the most likely explanation for these findings?