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. A benign left shift usually presents with a mild to moderate leukocytosis (the neutrophil count is often just above normal; it’s generally nowhere near the magnitude often seen in CML), and the neutrophils are shifted back to the metamyelocyte or myelocyte stages (you’ll very rarely see promyelocytes, and you’ll virtually never see.
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  • Leukemoid reactions.
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    In contrast, the LAP score in CML is low.

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