108 e-Letters

published between 2011 and 2014

  • Diagnosis of recurrent bilateral parotitis
    Abdulla Mufeed

    The presented case of bilateral recurrent parotitis is unique and interesting. I would like to bring to your notice that such presentation of recurring bilateral parotid infections could be a classic presentation of rare autosomal recessive genodermatosis known as 'lipoid protenosis' or hyalinosis cutis et mucosae. It is characterized by wide spread deposition of homogenous hyaline like material in the skin, submucosal...

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  • uncommon case of hepatopulmonary amoebiasis
    arvind ganesh kulkarni

    Although the incidence of amoebiasis intestinal as well as extraintestinal has gone down substantially even in devloping countries the complication of intestinal amoebiasis in the form of amoebiac hepatitis before developing hepatic abscess is quite common. With the most conservative management with Metranidazol the chances of the patient developing hepatic abscess are far less unless the patient happens to be immunocomp...

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  • Dwindling clinical skills- an unforgettable lesson
    Zarshed Khan

    Hopkins et al have presented and interesting and important case highlighting the need to look for organic aetiology in new onset psychosis. Psychiatrists are medically trained doctors and GMC good medical practice requires them to keep up to date with the latest knowledge and evidence. Unfortunately very little attention is being paid in the NHS to this aspect and developing skills like leadership, management, innovations...

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  • Dabigatran does not dissolve the thrombus. Instead fibrinolytic system dissolved the thrombus.
    Thein H Oo

    Dear Editor

    I was reading with interest the manuscript of Hidekazu Takeuchi's [1]. The author believed that dabigatran dissolved the thrombus. As a consultant hematologist, I have noticed that many people including patients and practicing physicians believe that anticoagulants dissolve the clot. In reality, this is not the case. Anticoagulants never dissolve the thrombus.

    The aims of the anticoagulan...

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  • Response to "Confirmed viral meningitis with normal CSF findings"
    Thomas C Morris

    This is a very important case report as it feeds into our understanding of how to interpret test results. If the pre-test probability is high (eg. features of meningism in acute febrile illness) then negative results should be treated with an index of suspicion. No test is perfect, with both pathophysiological (eg. delayed movement of WBCs from inflamed meninges into CSF), statistical (occasional representatives from...

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  • propranolol and infantile hemangiomas
    mahesh masand

    Propranolol has now become the main stay for treatment of infantile hemangiomas even in developed countries unless it fails or the drug could not be used because of complications.This has been a matter of great relief not only for the parents/patients but the practicing doctors as well everywhere .

    Conflict of Interest:

    None declared

  • Cause of pancytopenia in a Lyme serology patient
    tristram c dammin

    Pancytopenia is a rare expression of Lyme Disease.My worry is that the patient may have been co-infected with a virus for which, at this time, there is no form of positive identification. Such a virus could be related to one of the other viral scourges the vector of which are hard ticks.

    Conflict of Interest:

    None declared

  • Re:Response to Gluteal compartment syndrome with severe rhabdomyolysis
    Nitisha Narayan

    Dear Mr. Latimer Thanks you for your response to my case report. Fasciotomy and debridement in the presence of crush syndrome is a controversial topic. As far as evidence is concerned there are proponents and opponents of fasciotomy in the presence of rhabdomyolysis. Although there is a theoretical risk of worsening the renal function and electrolyte imbalance, leaving the compartment closed in the presence of clinical...

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  • An interesting article
    Musa A. Garbati

    I wish to commend the efforts of the authors of this interesting article being the first of its kind in the literature. I would like them to share with us the duration of therapy in this case and follow up information. Thank you.

    Conflict of Interest:

    None declared

  • Appropriate biochemical evaluation of phaeochromocytoma during pregnancy
    Andrew S Davison

    The occurrence of phaeochromocytoma in pregnancy is extraordinarily rare, with a frequency of 1 in 54, 000 (0.002%) (1-2). Due to the potentially devastating consequences to the mother and foetus it is essential to consider phaeochromocytoma in the differential diagnosis of uncontrollable hypertension.

    In order to do this the appropriate initial biochemical investigation(s) are vital. Memon et el (3) rightly hi...

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