A 4 y.o. child attends the kindergarten. Complains of poor appetite, fatigue. Objective examination: skin and mucous membrane are pale, child is asthenic. In the hemogram: hypochromatic anemia 1st, leucomoide reaction of the eosinophi-le type. What pathology must be excluded first of all?

Answer options

1. Atrophic gastritis
2. Hypoplastic anemia
3. Lymphoprolipherative process
4. Duodenal ulcer
5. Helminthic invasion

Explanation

A leukemoid reaction is an increase in the white blood cell count, which can mimic leukemia. The reaction is actually due to an infection or another disease and is not a sign of cancer. Blood counts often return to normal when the underlying condition is treated. Leukemoid Reaction to Eosinophile and hypo chromatic anemia points to Helminthic Invasion.