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Hoagland sign
  1. Ryota Inokuchi1,2,
  2. Haruyasu Iida3,
  3. Fumihito Ohta4,
  4. Susumu Nakajima2,
  5. Naoki Yahagi2
  1. 1 Department of Emergency, Shirane Tokushukai Hospital, Minami-Alps, Yamanashi, Japan
  2. 2 Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
  3. 3 Department of Neurology, Shirane Tokushukai Hospital, Minami-Alps, Yamanashi, Japan
  4. 4 Department of Neurosurgery, Shirane Tokushukai Hospital, Minami-Alps, Yamanashi, Japan
  1. Correspondence to Dr Ryota Inokuchi, Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; inokuchir-icu{at}h.u-tokyo.ac.jp

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An otherwise healthy 26-year-old woman was admitted to our hospital for the first time for complaints of fever, fatigue, sore throat and eyelid swelling lasting for 4 days. On examination, tonsillar exudates, bilateral enlarged tender posterior cervical nodes, slight splenomegaly and bilateral upper-lid oedema (figure …

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