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April 24, 1967

Steroids in Treatment of Infectious Mononucleosis

JAMA. 1967;200(4):350. doi:10.1001/jama.1967.03120170122043

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To the Editor:—  I agree with Dr. Bender (199:99, 1967) that one who has witnessed the prompt improvement after treatment with steroids in the patient seriously ill with infectious mononucleosis cannot be skeptical of their value.Since it is the responsibility of a college health service to return its patients to their academic classes as promptly as possible without jeopardizing the welfare of the individual patient or other students, the Georgia Tech Student Health Service believes that any student with infectious mononucleosis who is sick enough to justify absence from classes will benefit from the use of steroids.We have used dexamethasone in more than 300 cases in the past nine years with prompt symptomatic relief, even in cases with severe infectious mononucleosis. The most satisfactory dosage schedule in terms of initial symptomatic response, prompt clearing of angina if present, and lack of relapse on completion of therapy has