eLetters

109 e-Letters

published between 2016 and 2019

  • Case report should be withdrawn
    Susan Bewley

    Dear Editor

     

    Case report should be withdrawn

    HealthWatch UK is a charity that promotes ‘science and integrity in medicine’, values we might all expect to be shared by the BMJ and all its subsidiary journals. Accordingly, we ask you to think again about the Publishing Executive’s response (1) to the e-letter submitted by our colleague Les Rose (2) regarding a report by Zaidi et al. (3) about curcum...

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  • The importance of proper hygiene in self-monitoring of blood glucose
    Sami Wardat

    Authors: Sami Wardat, PhD, MBA(1), Oliver Hauss, PhD(2), and Rolf Hinzmann, MD, PhD(1)

    Dear Editor,

    Partha Pratim Chakraborty and Shinjan Patra recently reported on a potential risk for patients welfare from maltose interference with glucose measurements in their case report Erroneously elevated glucose values due to maltose interference in mutant GDH-PQQ based gluco...

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  • Response to eletter
    Aakash Pandita

    Vishal Gupta 1 , Aakash Pandita 2

    1. Neonatology, Max Hospital, New Delhi, India.

    2. SGPGI, Lucknow, U.P, India

    We thank the reader for appreciating our work. The said patient was worked up for ARC syndrome and mutational analysis was done from outside as the primary care center does not have these facilities. The patient got the genetic analysis done from outside laboratory and came with the f...

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  • Arthrogryposis, renal dysfunction and cholestasis (ARC) syndrome: a rare association with high GGT level and absent kidney.
    Paul Gissen

    Dear Sir/Madam This is a potentially interesting report suggesting unusual features such as high GGT and absent kidney present in a clinically diagnosed case of ARC syndrome. Whilst this finding might be of interest to Paediatricians and Neonatologists, the author do not provide any evidence that their diagnosis is factually correct. They write that the VPS33B sequencing was suggestive of a mutation but no report of the...

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  • Bleach is not sodium hydroxide
    William Hoffman

    The article starts as a report of ingestion of sodium hydroxide tablet and all but one reference within it is to sodium hydroxide.

    The single reference to bleach is the reason for my letter. It is not clear to me that anyone would have large tablets of sodium hydroxide (usu prilled pellets are <<1g), and I confess that solid bleach tablets are not an item I have used. I presume such would be to sanitize a...

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  • Analysis of Synthetic Cannabinoids
    Randolph W Lievertz, MD

    Was the substance that this patient was found with sent to an analytic organic chemist to identify the specific chemical moeties present? Synthesis of cannabinoids can result in a product that has radically different pharmacologic properties than the desired compound. The classic example is Ecstacy. Distillation at the wrong temperature, just a few degrees off, results in a total body paralysis drug. In the presented ca...

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  • Re-Shoulder pain in smokers
    Ali Al Kaissi

    Intersting case with missed clinical data. The available photos of the patient showed abnormal craniofacial contour. The head seems long and narrow with a possibility of a compensatory growth might occured in the antero-posterior direction resulted in a scaphocephalic like skull. The bi - temporal narrowing with narrow frontal area, deep-seated eyes, widow peak with dense eye browes and abnormal length of the nose are fe...

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  • Optic nerve involvement in Acute Lymbhobastic Leukaemia , more than what meets the eye
    Sunil R Moreker

    Acute Lymphoblastic Leukaemia can affect the eye in various ways . It may present with an ischaemic optic nerve involvement (1) or optic nerve swelling due to direct involvement . But sometimes it may also present as an optic nerve involvement as an effect of a drug like Linezolid which has been used for treatment of infections which coexist (2) or it may present as an infiltration of the nerve in combination with...

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  • Re:Association is not causation
    Jennifer Thomas

    BMJ approached the authors for their comments, but did not receive a response. This case was reviewed by two external peer reviewers prior to publication. It uses cautious language throughout and correctly offers no definitive conclusions. BMJ Case Reports is not responsible for claims made in other media.

    Conflict of Interest:

    I am the Publishing Executive for BMJ Case Report...

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  • Association is not causation
    Les B Rose

    Zaidi et al conclude that "Dietary supplements, such as curcumin, may be beneficial for some myeloma patients". This is on the basis of their single case report; in other words it is an anecdote. In contrast, the medicinal chemistry of curcumin has been studied in depth for many years. Nelson et al conclude that, despite over 120 clinical trials, no beneficial effect has been observed (1).

    I am wondering about h...

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