Three cases of splenomegalia lymphatica hyperplastica have been reported by Brill, Baehr and Rosenthal.1 My patient was a man, aged 50, who came to my office for the first time, Oct. 22, 1926, with a history of swollen nodes behind the ears and on the back of the neck since early summer. He complained also of occasional cold and hot feelings; of discomfort in the upper abdomen, irregularly; of being very tired; of slight headache and of nervousness and at times nausea. He did not sleep well and had no appetite.
The family history was negative. The personal history was negative, except for an appendectomy in 1915.
On physical examination the principal positive observations were: very bad breath; blood pressure 100 systolic and 60 diastolic; pulse 96; temperature 99.2; one dead tooth; slightly increased tone in the upper right rectus; tenderness in the region of the
Baker RD. SPLENOMEGALIA LYMPHATICA HYPERPLASTICA, OR GENERALIZED GIANT LYMPH FOLLICLE HYPERPLASIA OF LYMPH NODES AND SPLEEN. JAMA. 1927;88(26):2035. doi:10.1001/jama.1927.92680520025010a
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