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Managing Spleens

David L. Simel
Arch Intern Med. 1980;140(9):1250. doi:10.1001/archinte.1980.00330200126040.
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To the Editor.  —I went to my medical school library last night to select the AMA specialty journal I wish to receive. The Archives of Internal Medicine was naturally the journal I flipped through first, as my plans are to start an internal medicine residency next year. The recent article by Kataria and Whitcomb in the January Archives (140:35-37,1980) was worthwhile. I knew that the article would be enjoyable since the abstract stated, "considering splenomegaly, we suggest that corticosteroids are indicated in the management of only large spleens and not of smaller spleens." I did learn that "larger spleens,... still accompanied quite often by abdominal pain and/or hematologic abnormalities, would warrant steroid therapy." The authors also informed me that corticosteroid therapy for splenomegaly in sarcoidosis "does not seem to alter the course of small spleens and... should be prescribed only if there are other specific indications."My medical education must


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