Introduction Primary Myelofibrosis (PMF) is a rare clonal myeloproliferative neoplasm characterised by bone marrow fibrosis, extramedullary hematopoiesis, anaemia, and splenomegaly (1). It can present with nonspecific symptoms and may mimic other chronic conditions such as liver cirrhosis (1). Case Presentation A 64-year-old male was admitted for p
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