JULIUS H. HESS, M.D.
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At no period during life is an enlarged spleen so common a finding as in infancy and childhood. However, emphasis should be placed on the fact that an enlarged spleen frequently does not have the same significance in early life that it does in adults. This applies more especially to the acute splenomegaly of moderate degree as seen during acute infections and the chronic splenomegaly associated with nutritional disturbances.
In a review of the literature numerous classifications of splenomegaly are found, some of them quite complete but none entirely satisfactory from either an etiological, pathological or clinical standpoint. Our limited
HESS JH. Splenic Puncture as a Diagnostic Procedure in Infancy and Childhood1. Ann Intern Med. ;4:467–483. doi: 10.7326/0003-4819-4-5-467
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Published: Ann Intern Med. 1930;4(5):467-483.
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