A four year old buy was admitted with a history of abdominal

Discussion in 'AIIMS Nov 2013' started by rajan, Nov 8, 2004.

  1. rajan

    rajan Guest

    A four year old buy was admitted with a history of abdominal pain and fever for two months, maculopapular rash for ten days, and dry cough, dyspnea and wheezing for three days. On examination, liver and spleen were enlarged 4 cm and ; cm respectively below the costal margins. His hemoglobin was 10.0 g dl, platelet count 37 * 109/L and total leukocyte count 70 x 109/L, which included 80% eosinophils. Bone marrow examination revealed a cellular marrow comprising 45% blasts and 34% Eosinophils and eosinophilic precursors. Tile blasts stained negative for myeloperoxidase and non-specific esterase and were positive for CD 19, CD 10, CD22 and CD20. Which one of the following is the most likely diagnosis


    1Biphenotypic acute leukemia (lymphoid and eosinophil lineage). 2. Acute eosinophilic leukemia 3 Acute lymphoblastic leukemia with .hypereosinophilic syndrome 4 Acute myeloid leukemia with eosinophilia

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