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January 12, 1957


Author Affiliations

12. W. 72nd St. New York 23.

JAMA. 1957;163(2):143. doi:10.1001/jama.1957.02970370057019

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To the Editor:—  In the Correspondence section of The Journal, Nov. 17, 1956, page 1178, is a second communication discussing claims of priority to the description of palatine petechiae in infectious mononucleosis. In this letter, as well as in some of the other publications it cites, the impression is given that this finding can be regarded as a sign diagnostic of infectious mononucleosis. Shortly after Hoagland implied this point (Am. J. Med.13:158, 1952) I saw two young men who complained of a sore throat accompanied by malaise and mild fever of several days duration. Both had had tonsillectomy previously. In each instance there was moderate injection of the pharyngeal mucosa and a cluster of petechiae on the soft palate. The anterior cervical lymph nodes were enlarged and somewhat tender, but generalized adenopathy and splenomegaly were not present. In both cases there was slight elevation of the white blood

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