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Image Challenge This 61-year-old man presented with abdominal pain. Basophilic stippling was evident on a blood smear.

This 61-year-old man presented with abdominal pain. Basophilic stippling was evident on a blood smear.

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Question

This 61-year-old man presented with abdominal pain. Basophilic stippling was evident on a blood smear. What is the most likely diagnosis?

Acute myelogenous leukemia

Chronic lead poisoning

Beta-thallasemia

Megaloblastic anemia

Sickle cell anemia

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