Leukemoid reaction is defined as a reactive leukocytosis in excess of 50000/mL. It is seen in response to infection, inflammation, or therapeutic agents and is less commonly caused by malignancy. Milder elevations in leukocyte count are common both in carcinoma and Hodgkin lymphoma.However, although mild leukocytosis is common in Hodgkin lymphoma, leukemoid reactions are rare. A review of the literature reveals only a handful of documented cases of Hodgkin-associated leukemoid reactions, most of which involve eosinophilia. We report a new case of leukemoid reaction hodgkins lymphoma.