Upper eyelid oedema in a patient with pharyngitis/exudative tonsillitis and malaise: Hoagland sign in infectious mononucleosis
S Louppides, L Kakoullis, G Parpas… - BMJ Case …, 2019 - search.proquest.com
S Louppides, L Kakoullis, G Parpas, G Panos
BMJ Case Reports, 2019•search.proquest.comPhysical examination revealed bilateral upper eyelid oedema (figures 1 and 2), enlarged
tonsils with a sheet-like white exudate, tender palpable posterior cervical lymph nodes and
hepatosplenomegaly. Laboratory examination was remarkable for a lymphocytosis of 8.780
cells/mL with reactive lymphocytes and marginal thrombocytopenia with 128.000 cells/mL
and increased lactate dehydrogenase (LDH) with 1127 IU/L. Infectious mononucleosis; an
analysis of 100 cases with particular attention to diagnosis, liver function tests and treatment …
tonsils with a sheet-like white exudate, tender palpable posterior cervical lymph nodes and
hepatosplenomegaly. Laboratory examination was remarkable for a lymphocytosis of 8.780
cells/mL with reactive lymphocytes and marginal thrombocytopenia with 128.000 cells/mL
and increased lactate dehydrogenase (LDH) with 1127 IU/L. Infectious mononucleosis; an
analysis of 100 cases with particular attention to diagnosis, liver function tests and treatment …
Abstract
Physical examination revealed bilateral upper eyelid oedema (figures 1 and 2), enlarged tonsils with a sheet-like white exudate, tender palpable posterior cervical lymph nodes and hepatosplenomegaly. Laboratory examination was remarkable for a lymphocytosis of 8.780 cells/mL with reactive lymphocytes and marginal thrombocytopenia with 128.000 cells/mL and increased lactate dehydrogenase (LDH) with 1127 IU/L. Infectious mononucleosis; an analysis of 100 cases with particular attention to diagnosis, liver function tests and treatment of selected cases with prednisone.
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