ocr: Mean age (y) At onset of symptoms 63 At diagnosis 65 (range, 18-92) Symptoms (% of patients with) Severe fatigue 85 Bleeding 60 Neurologic 17 Bone pain 10 Signs (% of patients with) Lymphadenopathy 40 Hepatomegaly 30 Splenomegaly 30 Hepatosplenomegaly 25