A 6-year-old boy is brought to
the physician by his mother because of "sleepiness:' she says that he has
been so tired lately that he cannot even play with friends after school. Physical
examination shows pale skin and mucous membranes. Laboratory studies show a
decreased hemoglobin and hematocrit. Basophilic stippling is seen on a
peripheral blood smear. Which of the following is the most likely diagnosis?
A. Arsenic poisoning
B. Carbon monoxide poisoning
C. Cyanide poisoning
D. Lead poisoning
E. Mercury poisoning
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