129 e-Letters

published between 2016 and 2019

  • Imaging In Vertebral Artery Dissection
    Nosakhare I Idehen

    Thanks for reporting this interesting case of VAD. The clinical versatility of this pathology calls for careful history taking and examination to avoid the pitfall of inappropriate imaging requests for patients who present with craniocervical pain with or without headache.

    The presence of new neurological deficits such as those described in the case report would certainly warrant urgent imaging. In the absence of...

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  • Author Reply
    Laura Boylan

    I thank Drs. Onder and Jahanroshan for their interest in this report. They raise excellent points. A video would have added a great deal, however I was unable to locate proxies to consent for such a recording during the time of what was a short lived tremor. An EEG done prior to the appearance of the tremor showed global slowing with no epileptiform activity. I can't exclude self limited hypoxia prior to being found bu...

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  • Cure?
    Tracy Kolenchuk

    I am always happy to see treatments that avoid medicines.

    On the other hand, I am always sad to see that "cured" is not defined, and as a result it is not possible to claim a cure for diabetes - not even possible to know if a specific case, or a specific treatment, is moving closer to cured, or farther away from cured.

    When cured is defined, independent of treatment, we will be able to find cures. Unt...

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  • dr
    vaidyanathan Gowri

    Dear Sir, Though the authors claim that there was heterotopic pregnancy ideally they should have done a curettage to prove chorionic villi from the intrauterine pregnancy. The sac demonstrated in the uterus could be pseudo sac. Without a clear evidence of villi in both sites, this will be wrong message. The drop in the beta hCG can be a lab error or rupture of the ovarian ectopic

    Conflict of Interest:

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  • An excellent paper, but some further details would be useful
    Roberto Calisti

    An excellent paper! I think it would be useful if the authors explained if the patient was exposed to sclerogenic dusts, both in occupational and non-occupational scenarios.

    Conflict of Interest:

    None declared

  • Abstract should indicate the type of turmeric supplement
    Brien Quirk

    Was this supplement a turmeric powder, simple water extract, or the highly concentrated standardized turmeric extract with 95% curcuminoids made using a hexane or organic solvent? This can be an important determinant for causing liver toxicity.

    Conflict of Interest:

    Work for supplement industry

  • Response to case report; cephalad migration of externally powered spinal cord stimulator.

    Sirs, As a neuromodulator and instructor with extensive (30 year) experience with both "wired " and "wireless " systems, I feel compelled to repond to the conclusions of the cited case report.

    While the authors mention lead migration as an known complication of spinal cord stimulation, it is useful to consider that Cameron (1) cited 361 lead migration events in 2753 patients , a 13.2% incidence. Anderson (2) , i...

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  • Re:Case report should be withdrawn
    Abbas Zaidi

    Thankyou to Professor Bewley and colleagues for their comments.

    We agree with many of the concerns raised and want to point out it is essential to read and interpret this article for what it is - a case report. As has been rightly pointed out, it is therefore only anecdotal and is the lowest grade quality of evidence.

    Our intention in writing this article is merely to point out a temporal association...

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  • Bleach is not sodium hydroxide
    William Hoffman

    I have seen now that a correction was asserted. It is not satisfactory on its face for two reasons.

    The first is that my criticism of the report was not acknowledged for pointing out that the original claim was of swallowing a bleach tablet, which meant that treatment could be understood as inappropriate or inadequate.

    The second is that a "correction" that ascribed the problem as that the patient ing...

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  • Response to e-letter
    Partha P. Chakraborty

    We sincerely thank the technical product manager of ACCU-CHEK Performa (Roche) for going through our article entitled 'Erroneously elevated glucose values due to maltose interference in mutant GDH-PQQ based glucometer, Chakraborty PP, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-219928 with interest. We provide our response to the issues raised by our learned colleague.

    Regarding the removal of maltose-contai...

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