eLetters

288 e-Letters

  • B12 and neurology
    Santosh V Kondekar

    B12 deficiency has always been a puzzle in pediatric population. Theoretically B12 deficiency is claimed to not occur in children due to reduced need of children and it takes years to develop cobalamine deficiency in children from malnutrition. Although most B12 deficient infants are failing to thrive, the aetiology for B12 deficiency is probably intrauterine and may be maternal B12 deficiency in addition, which explain...

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  • Rosai Dorfman Disease with thyroid gland involvement
    Dr Bidyut Kumar Das

    RDD is a rare histiocytic proliferative disorder of unknown etiology, commonly presents with painless massive lymphadenopathy and multiple extra nodal manifestations. Here we present a 13-yr old girl who presented with irregular low-grade fever with malaise, anorexia and nausea for last six months followed by five painless soft tissue swellings over the scalp, 4X3cm in diameter without bony involvement and multiple bilater...

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  • Long-haul air travel motion sickness and cerebellar oedema.
    mohammed naim

    The evidence presented by authors (Brian Hurwitz,and Joshua Richardson) is informative. However, it may be added further that Long-haul air travel has been well known to give rise to high altitude motion sickness, cerebellar edema and speech and orientation problems[1]. The young 14-year-old fellow and his father, since, showed no investigative findings confirmatory of viral disease. So it could be that they were more sus...

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  • Caption Marks on MRI images.
    Mohammed Naim
    Sir,caption marks which appear missed on MRI images in this case are important for learning of the new and the practicing generations of the pathologists besides of the imaging diagnosticians, and clinicians. For the pathologists MRI images give cut surface views in vivo helpful in final diagnosis on biopsy or autopsy where ever required. Image markings hence may be promoted by reviewers and editors.

    Conflict of Interest:

    ...
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  • Massive cerebellar infarctions; where are standing and what are we expecting?
    Osama SM Amin

    We are thankful to Epstein and Naqvi for reporting this case and reminding us of its lesson. However, I would like to address the following:

    The cerebellum is supplied by three arteries; posterior inferior cerebellar arteries (PICA), anterior inferior cerebellar artery AICA) which is usually a single artery, and superior cerebellar arteries (SCA). These vessels and their branches anastomose with each other to f...

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  • Catatonia in recent days
    Osama Hammer

    Catatonia is not a diagnosis. Rather, catatonia is a descriptive term for a presentation observed in a wide variety of disorders. Catatonia continues to be recognised in the UK by about 1/3 of psychiatrists surveyed in South West England and Wales. The understanding of the condition may differ. This implies that under diagnosis may lead to suboptimal treatment and fatalities as the differential diagnosis of catatonia in...

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  • Evidence of MALTL poorly presented
    Mohammed Naim

    MRI in this case depicted tumor in a location where carcinoma is the most common neoplasm and lymphoma rare. Evidence is hardly of any use for readers unless microscopic evidence accompanied the MRI images. More important it was in view of the documentation that it was not typical lymphoid lesion in biopsy report but a lymphoepithelial mass; so, not necessarily neoplasm nor necessarily lymphoma, hence, awaiting final di...

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  • Intra-cranial dural venous sinus thrombosis: what have we learned?
    Osama S.M. Amin

    Dear Editor,

    I read with interest this article about intra-cranial dural venous sinus thrombosis, and many thanks go to the authors for the images.

    Because the article is an "Images in...," I have the following notes:

    The images do not tell which dural sinus (or sinuses) is thrombosed.

    Pointing out to the abnormal areas on the images would be very helpful to the readership.

    ...
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  • Images of the tumors should have been shown
    Mohammed Naim

    Very significant cases of para neoplastic syndrome are described by authors, but, images of the tumors claimed to be the cause of the disease should have been shown for awareness of the reader experts of Medical Science for future utility to the benefit of the patients.

    Conflict of Interest:

    None declared

  • Good case of delayed contact dermatitis.
    Mohammed Naim

    Here is a very good case of delayed contact dermatitis due to a known cosmetic allergen called Henna and hence this paper is also of public health significance. Allergen did take few days to precipitate allergic manifestations with dermatitis and eruptions which authors noticed to be infected and giving rise to scar formation which appeared like keloid due to oedema or hypertrophy. These changes, however, do not qualify...

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