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(A) Peripheral blood smear showing increased small and intermediate size lymphocytes with a monotonous appearance. Some lymphocytes have cytoplasmic blebs. (B) Mildly hypercellular bone marrow with an interstitial proliferation of lymphoid cells and reduced trilineage hematopoiesis. (C,D) Skin biopsy showing diffuse dermal infiltrate of small, monotonous cells, sparing the epidermis.
