Letters, calls and emails: Splenomegaly is rare in glandular fever

Dear Editor

Dr Julia Markham writes that ‘splenomegaly is common’ in glandular fever (GF) (GP, 16 February).

I spent two years working in an infectious disease hospital where I saw many cases of GF and would conscientiously palpate the abdomen every time. I never felt a spleen. I don’t think that this was due to faulty technique because I have been able to feel enlarged spleens in other conditions.

If the experience of others is similar to mine we should re-write the textbooks, to the effect that splenomegaly is rare in GF.

Dr Justin Robbins
Plymouth, Devon

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