Verkaik Romy C J, Hendricx Melanie F M, Timmer Ferdinand C A
Amphia Ziekenhuis, afd. Keel-, Neus- en Oorheelkunde, Breda.
Contact: Romy C.J. Verkaik (
Ned Tijdschr Geneeskd. 2023 May 10;167:D7556.
Case of a 17-year-old female with rhinitis, intermittent fever, painful enlarged lymph nodes and painless bilateral upper eyelid swelling. Complicated sinusitis and vascular pathology were ruled out, but Epstein-Barr serology was positive. Bilateral upper eyelid edema can be an early presentation of mononucleosis infectiosa and is called the Hoagland sign.
一名17岁女性患者，有鼻炎、间歇性发热、疼痛性淋巴结肿大及双侧上睑无痛性肿胀。排除了复杂鼻窦炎和血管病变，但EB病毒血清学检查呈阳性。双侧上睑水肿可能是传染性单核细胞增多症的早期表现，称为霍格兰征。
