eLetters

121 e-Letters

published between 2014 and 2017

  • 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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  • RE: McConnell's sign is not specific to PE nor should this finding alone prompt use of thrombolytics
    Navin Agrawal

    I am glad to receive comments on my previous publication on McConnell sign in which we had stressed upon the clinical relevance of this echocardiographic sign of pulmonary embolism. These comments are well taken and are acceptable to me. I wish to clarify my point which I wished to stress upon by means of this image publication.

    McConnell sign although is not a definitive evidence of massive embolism but is trul...

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  • McConnell's sign is not specific to PE nor should this finding alone prompt use of thrombolytics
    Benjamin T. Galen

    To the Authors,

    I enjoyed reading your case report. It is indeed a classic example of what appears to be massive PE with echocardiographic findings of RV dysfunction. However, I have some concerns about the learning points in your conclusion.

    1) You state that McConnell's sign is "a distinct echocardiographic feature of acute massive PE". This conclusion is misleading since McConnell's sign has been...

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  • Re: Re: "Histological diagnosis of cardiac lipoma in an adult with tuberous sclerosis"
    Shehab Jabir

    We would like to thank the author/s for the comment made above with regards to our publication in January of 2013 entitled "Histological diagnosis of cardiac lipoma in an adult with tuberous sclerosis"1. In this report we alleged, following a review of the current literature, that this was the first report of its kind where a histological diagnosis of cardiac lipoma in an adult with tuberous sclerosis was made and that we d...

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  • RE: "Histological diagnosis of cardiac lipoma in an adult with tuberous sclerosis"
    Miraude EAPM Adriaensen

    Hereby, we would like to comment on the case report, you published earlier this year entitled "Histological diagnosis of cardiac lipoma in an adult with tuberous sclerosis complex" (1). The authors state that they presented the first case of an adult with tuberous sclerosis complex, where a histological diagnosis of cardiac lipoma was made. Therefore, we would like to draw your attention to the Atlas of Tumor Pathology p...

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  • Alcoholic Cardiomyopathy and Chest X- Rays
    Suheil L. Artul

    Dear editor please delete the previous letter which I submitted one hour ago and consider this new letter for response to the article THE LETTER:

    Very nice case and I read with much attention the article " Alcoholic cardiomyopathy" by Antonio Mirijello, et al published in BMJ Case Reports 2013 :doi:10.1136/bcr-2013-201449. I think that the most important sign is the rapidity of myocardial recovery during absti...

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  • Response
    Antonio Mirijello

    Dear Editor,

    We thank the reader for the interesting comment on our recently published "Images in..." entitled Alcoholic Cardiomyopathy, describing a case of severe cardiomegaly found at a chest X-ray in an alcoholic patient. We agree on the utility of perfusion MRI in the differential diagnosis of non-ischemic dilated cardiomegaly. Unfortunately, the patient declined a perfusion MRI, thus we were not able to pe...

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