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Arch Otolaryngol Head Neck Surg. 1999;125:1399-1401.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 5-YEAR-OLD BLACK GIRL presented with a 9-month history of bilateral enlarging cervical adenopathy. She had intermittent fever, a 3-kg weight loss, poor appetite, difficulty swallowing, mouth breathing, and snoring with apneic pauses.

Physical examination revealed a thin girl with loud breathing and hyponasal speech. The ears and nose were unremarkable. The tonsils were 2+ bilaterally. There was no trismus. The neck examination revealed firm, nontender, massive bilateral cervical adenopathy (Figure 1). The patient had difficulty in turning her head, seemingly because of mass effect. Cranial nerve functions were clinically intact. Her chest was clear to auscultation. There was no palpable axillary or inguinal adenopathy, and there was no hepatosplenomegaly.

Figure 1.

Laboratory findings included microcytic anemia (hematocrit,0.28; mean corpuscular volume, 65 fL), a normal white blood cell count with a left shift, and an elevated platelet count (509 x 10⁹/L). The erythrocyte sedimentation rate and C-reactive . . . [Full Text of this Article]