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March 9, 1957


JAMA. 1957;163(10):874. doi:10.1001/jama.1957.02970450076021

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To the Editor:—  It is difficult to know how long a subject should be debated in the columns of the The Journal. However, inasmuch as my observations have been mentioned in letters regarding palatine petechiae, perhaps this letter is justified. Despite Warshaw's endeavor (J. A. M. A.163:143 [Jan. 12] 1957) to "correct the impression" that palatine petechiae can be relied on in diagnosing mononucleosis, the typical lesions, described in the American Journal of Medicine (13:158, 1952), have continued to prove their reliability to me. I advise continued reliance on these lesions as a most helpful finding in detecting mononucleosis, despite the possibility that they may not be specific. Another writer who has reported on hundreds of personally observed cases of mononucleosis, C. E. Bender, has stated that the palatal enanthem is "very important corroborative evidence" of mononucleosis (Journal-Lancet74:7,1954). His article contains a good picture, and

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