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A young man, aged 29, who had been married only a year and whose wife was not pregnant, complained chiefly of a large swelling in the right side of the neck. He had noted the swelling about three weeks before he consulted me; it had grown only a little, the size at the time of examination being that of a hemisphere of a baseball. He had noted a little sore throat and believed that he had had some toothache. He had felt weak, much as he had on previous occasions when he had had a sore throat. He believed that he had had some fever.
Examination of the mass in the neck revealed several discrete glands about the size of walnuts. There were discrete, small palpable glands in all the other lymph gland areas, including the epitrochlear area. The temperature was 100 F. There were no other abnormal physical