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May 23, 1885


JAMA. 1885;IV(21):586-587. doi:10.1001/jama.1885.02390960026012

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Editor Journal of the American Medical Association:

Dear Sir  —On the 18th of November, 1884, Ferdinand Schucknecht, a German aged 20 years, consulted me for a swelling of his neck. He was a heavy, hearty-looking young man of robust appearance, apparently in the enjoyment of excellent health.On examination I found a prominent enlargement of the submaxillary and cervical glands of both sides about equally, meeting, though less prominent, underneath the chin. The growth was painless, hard, and not tender to pressure. There were no enlargements of other glands noticeable. The appetite was good; no feeling of sickness whatever. The glandular swelling remained in statu quo for as many as ten days, when there was some swelling of the inguinal glands also. Soon the mesenteric glands became enlarged and increased in size rapidly, distending the abdomen and crowding up the diaphragm, interfering seriously with the patient's breathing when in the

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