Figure 1. Peripheral blood with eosinophils and bone marrow aspiration smear with eosinophils and blast cells.
| International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc |
| Journal website http://www.theijcp.org |
Case Report
Volume 9, Number 2, June 2020, pages 59-63
Hypereosinophilia as a Presenting Symptom of Acute Lymphoblastic Leukemia in a Child
Figure
Table
| Laboratory tests with normal range | At diagnosis | On day 39 of the treatment | On day 85 of the treatment |
|---|---|---|---|
| WBC: white blood cell; Ery: erythrocyte count; AST: aspartate aminotransferase; ALT: alanine transaminase; ALP: alkaline phosphatase; GGT: gamma-glutamyl transferase; LDH: lactate dehydrogenise; ESR: erythrocyte sedimentation rate; CRP: C-reactive protein; PT: prothrombin time; INR: international normalized ratio; aPTT: activated partial thromboplastin time. | |||
| WBC (× 109/L) (3.5 - 10.5) | 58.0 | 4.4 | 7.8 |
| Lymphocytes (%) (20 - 40) | 27 | 20 | 65 |
| Neutrophils (%) (44 - 76) | 73 | 75 | 33 |
| Eosinophils (%) (0 - 6) | 60 | 5 | 2 |
| Blast cells (%) | 0 | 0 | 0 |
| Hemoglobin (g/L) (115 - 160) | 130 | 98 | 112 |
| Ery (× 1012/L) (3.7 - 5.4) | 4.2 | 3.4 | 3.8 |
| Platelets (× 109/L) (130 - 440) | 136 | 110 | 220 |
| ESR (mm/h) (< 20 mm/h) | 20 | 20 | 12 |
| Reticulocytes (%) (0.5 - 1.4/100 erythrocytes) | 0.3 | 0.6 | 0.6 |
| Urea (mmol/L) (1.7 - 8.3) | 4.2 | 9.0 | 6.6 |
| Creatinine (µmol/L) (40 - 120) | 42 | 65 | 72 |
| Bilirubin total (µmol/L) (0 - 21) | 7.3 | 47.8 | 5.8 |
| Bilirubin direct (µmol/L) (0 - 8) | 3.4 | 37.8 | 2.8 |
| Protein total (g/L) (63 - 84) | 71 | 45 | 70 |
| Albumin (g/L) (35 - 50) | 45 | 27 | 40 |
| AST (U/L) (0 - 41) | 29.5 | 1,474 | 32 |
| ALT (U/L) (0 - 42) | 26.4 | 499 | 28 |
| ALP (U/L) (0 - 660) | 365 | 929 | 300 |
| GGT (U/L) (8 - 35) | 30 | 569 | 12 |
| LDH (U/L) (200 - 540) | 719 | 5,900 | 350 |
| Calcium total (mmol/L) (2.16 - 2.62) | 2.4 | 2.2 | 2.5 |
| Potassium (mmol/L) ((3.5 - 5.1) | 3.9 | 4.0 | 4.2 |
| Chloride (mmol/L) (98 - 107) | 101.9 | 99.0 | 100 |
| Sodium (mmol/L) (135 - 145) | 145 | 140 | 142 |
| CRP (mg/dL) (0 - 0.6) | 0.3 | 7.4 | 0.5 |
| PT (%) (70 - 120) | 113 | 53 | 110 |
| INR (0.85 - 1.25) | 0.94 | 1.63 | 0.9 |
| aPTT (s) (22.1 - 28.1) | 29.3 | 27.0 | 25.2 |
| Fibrinogen (mg/dL) (200 - 340) | 341 | 145 | 220 |