C to 38.5C), fatigue, loss ofappetite and weight loss. He wasasymptomatic until four months beforeadmission in our facility. On physicalexamination, the patient was afebrile. Thehead, neck and lungs were normal and, hehad no signs of chronic liver disease.Petechiae were present over the legs. Theneurologic examination showed noabnormalities. Blood levels of amino-transferases (AST and ALT), alkaline phosphatase, gamma-glutamyltranspeptidase, bilirubin, blood urea nitrogen, creatinine, glucoseand serum LDH were normal. The white-cell count was 4.5 x 10