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November 17, 1956


JAMA. 1956;162(12):1178. doi:10.1001/jama.1956.02970290074022

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To the Editor:—  In the Correspondence section of The Journal, Sept. 29, 1956, page 517, in a letter regarding palatine petechiae in infectious mononucleosis, Nicholl has challenged the claim of priority to description of this sign by Captain Shiver and associates in the June 16, 1956, issue of The Journal, page 592. Actually, they stated that this sign was described by Holzel in Lancet (2:1054 ) Nov. 20,1954. They state that these petechiae were also seen by Muller in 1950 and by Read and Helwig in 1945 but that they were not fully described. Nicholl mentions reports of this sign made in 1953 and 1954, with the latter containing complete descriptions and photographs.In a recent case at the U. S. Naval Hospital at Charleston, S. C., this sign was particularly well shown, and, in reviewing some of the literature on infectious mononucleosis, I found that this sign was well

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