Palpable Spleens: Ten-Year Follow-Up

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To the editor: In 1967 we reported that 63 of 2200 (2.9%) freshmen at Dartmouth College had a palpable spleen at the time of routine physical examination (1). Fifty-eight of the students were found to have normal hematocrits, reticulocyte counts, blood smears, and heterophil titers. These students gave no history of disease and were asymptomatic. Four had infectious mononucleosis at the time of examination and one had a history of malaria. In the 58 without associated disease, there was no obvious difference in the prior frequency of infection or other illnesses compared to their classmates without palpable spleens. There was

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