KROK 1 Stomatology 2016 – Question 59 · KROK (Dentistry)
The total number of leukocytes in the patient’s blood is 90 · 10⁹/l. Leukogram: eosinophils - 0%, basophils - 0%, juvenile - 0%, stab neutrophils - 2%, segmented neutrophils - 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 of the following pathology:
- A. Chronic lympholeukosis
- B. Chronic myeloleukosis
- C. Lymphogranulomatosis
- D. Acute lympholeukosis
- E. Infectious mononucleosis
Hint
Note that almost all the white cells are mature lymphocytes with very few blasts, and that smudged nuclear 'shadows' (Botkin-Gumprecht cells) are seen in the smear.
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