Abstract

Objective To understand the significance of upper eyelid swelling in early diagnosis and treatment of infectious mononucleosis(IM). Methods We early diagnosed these patients IM with upper eyelid swelling, fever and lymph node enlargement under five days course of disease, and compared the coincidence rate with last diagnosis, investigated the rate of upper eyelid swelling in non-early diagnosis cases with the course of disease above one week, and evaluated the effect of ganciclovir in treating IM in two groups. Results The coincidence rate was 97.14% in early and last diagnosis groups, and the rate of upper eyelid swelling was 60.2% in non-early diagnosis group.There were significant differences in disappear of upper eyelid swelling, fever and lymph node enlargement in the two groups. Conclusion Upper eyelid swelling has important significance in early diagnosis and treatment of IM. Key words: Infectious mononucleosis; Upper eyelid swelling; Early diagnosis and treatment

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