Systemic mastocytosis with an associated hematological neoplasm masquerading as overt primary myelofibrosis

[Figure][1] A 62-year-old woman was investigated for myeloproliferative neoplasm with splenomegaly. Complete blood count showed the following: hemoglobin, 123 g/L; leukocytes, 30.7 × 109/L; platelets, 273 × 109/L; myelocytes, 1.14 × 109/L; neutrophils, 23.72 × 109/L; eosinophils, 0.43