KROK 1 Stomatology 2013 – Question 74 · KROK (Dentistry)
The total number of leukocytes in patient’s blood is 90 · 10⁹/l. Leukogram: eosinophils - 0%, basophils - 0%, juvenile - 0%, stab neutrophils 2%, segmentonuclear cells - 20%, lymphoblasts - 1%, prolymphocytes - 2%, lymphocytes - 70%, monocytes - 5%, Botkin-Gumprecht cells. Clinical examination revealed enlarged cervical and submandibular lymph nodes. Such clinical presentations are typical for the following pathology:
- A. Chronic myeloleukosis
- B. Chronic lympholeukosis
- C. Lymphogranulomatosis
- D. Acute lympholeukosis
- E. Infectious mononucleosis
Hint
Note the predominance of mature lymphocytes with very few blasts and the presence of smudge (Botkin–Gumprecht) cells in a patient with lymphadenopathy.
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