A 3-year-old child has been brought to a hospital with complaints of pain in the legs, fever, and loss of appetite. Objectively: pale skin and mucosa, hemorrhagic rash. Lymph nodes are enlarged, painless, dense and elastic, not matted together. Bones, joints, and abdomen are painful. The liver and spleen are enlarged. Hemogram: Hb- 88 g/L, color index – 1.3, platelets - 80 × 109/L, leucocytes - 25.8 × 109/L, lymphoblasts – 70%, ESR 52 mm/hour. Make the provisional diagnosis:

Answer options

1. Hemorrhagic vasculitis (Henoch-Schonlein purpura)
2. Thrombocytopenic purpura
3. Acute rheumatic fever
4. Acute leukemia
5. Infectious mononucleosis

Explanation

A 3-year-old child has been brought to a hospital with complaints of pain in the legs, fever, and loss of appetite. Objectively: pale skin and mucosa, hemorrhagic rash. Lymph nodes are enlarged, painless, dense and elastic, not matted together. Bones, joints, and abdomen are painful. The liver and spleen are enlarged. Hemogram: Hb- 88 g/L, color index – 1.3. platelets – 80 – 109/L, leukocytes – 25.8. 109/L, lymphoblasts – 70%, ESR 52 mm/hour. Make the provisional diagnosis: