aleukemia
aleukemic leukemia
aleukocythemic leukemia

This less-common condition is called aleukemia.

Alternative explanations for the low CD4 counts include conditions such as blood cancers (aleukemia), treatment with chemotherapy, immunosuppressive medications, or other medications that suppress or kill T cells, infections, and problems with blood production.

Foreman suggests aleukemic leukemia meaning the marrow wouldn't be making normal cells.