case_images: PMC6350017_01
case_images: Absolute lymphocyte count at various time points during clinical course of the index case.
case_images: 10.1177_2050313X18823917-fig1.jpg
case_images: PMC6350017_01_10.1177_2050313X18823917-fig1.jpg
case_images: fig1-2050313X18823917
case_images: He remained asymptomatic and under observation for several years but was noted to have rapidly increasing lymphocytosis, progressive lymphadenopathy, symptomatic splenomegaly and thrombocytopenia in 2015 (Table 1 and Figure 1). Approximately two-and-a-half years after initial treatment, thrombocytopenia and rapid increase in lymphocytosis were noted (Table 1 and Figure 1).