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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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Footnotes

  • Contributors RI, HI and FO contributed to patient management. RI drafted the initial manuscript. HI contributed to writing the report. SN and NY critically reviewed the manuscript. All the authors have provided written consent for publication.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.