A 2-year-old girl is brought to the ED because of fevers that have been occurring daily for 3 weeks. Physical examination reveals a 1.2-kg (2.6-lb) we

Subject
Paediatrics
System
Allergy & Immunology, Hematology & Oncology

Kathryn

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Jul 29, 2020
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A 2-year-old girl is brought to the ED because of fevers that have been occurring daily for 3 weeks. Physical examination reveals a 1.2-kg (2.6-lb) weight loss since her last doctor’s visit 1 month earlier. She also has pallor, hepatomegaly, and splenomegaly. She is admitted to the hospital and undergoes bone marrow aspiration; results are shown in the image. Which of the following is the most likely diagnosis?
1605943996414.png

(A) Acute lymphoblastic leukemia
(B) Ewing’s sarcoma
(C) Hemophagocytic lymphohistiocytosis
(D) Neuroblastoma
(E) Wilms’ tumor
 
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