[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.166.89.187. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Pathology Forum
December 1999

Quiz Case 2

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 1999;125(12):1399-1401. doi:

A 5-YEAR-OLD BLACK GIRL presented with a 9-month history of bilateral enlarging cervical adenopathy. She had intermittent fever, a 3-kg weight loss, poor appetite, difficulty swallowing, mouth breathing, and snoring with apneic pauses.

Physical examination revealed a thin girl with loud breathing and hyponasal speech. The ears and nose were unremarkable. The tonsils were 2+ bilaterally. There was no trismus. The neck examination revealed firm, nontender, massive bilateral cervical adenopathy (Figure 1). The patient had difficulty in turning her head, seemingly because of mass effect. Cranial nerve functions were clinically intact. Her chest was clear to auscultation. There was no palpable axillary or inguinal adenopathy, and there was no hepatosplenomegaly.

First Page Preview View Large
First page PDF preview
First page PDF preview
×