eLetters

288 e-Letters

  • 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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  • Re:excellent%20paper%2C%20something%20useful%20to%20add%20towards%20a%20full%20comprehension%20of%20this%20case
    Heather Katz

    Thank you for your suggestion to add other risk factors the patient could have had which may have lead to his diagnosis. According to the records, the patient did have exposures to both radiation and petroleum.

    Conflict of Interest:

    None declared

  • LA clot in Severe Mitral stenosis
    Nitin T Patil

    Varying sizes and quality of clots are seen in severe rheaumatic mitral valve stenosis, especially in Asian subcontinent. LA clots are also found in patients with non-valvular atrial fibrillation, but to a lesser extent as compared to rheumatic valvular disesase and are seen more in the advanced world. The clots can be fresh ones or multilayered organised clots or a mixture of the two. In severe mitral stenosis, because...

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  • excellent paper, something useful to add towards a full comprehension of this case
    Roberto Calisti

    I deeply appreciated the excellent description and discussion of the case in this paper. I would suggest one more piece of information to be given to the readers; not only genetic factors play a relevant role in the male breast cancers' web of causation but some, mainly occupational, exposures do too. I would therefore find it useful to know which work the patient practised, and if this occupation involved exposure to high le...

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  • Nerf gun eye injuries
    Guy F A Mole

    We read with interest this case series having seen several nerf gun eye injuries in our own department. A search of the electronic patient records revealed 17 such cases since 2014. Of these 12 were male and 5 female with 9 under the age of 18. Analysis of the primary injury revealed 5 hyphemas, 5 cases of traumatic iritis, 2 corneal abrasions, 1 case of commotio retinae and 1 case of angle recession with the risk of glau...

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  • Re:Comment to "Fatal air embolism following local anaesthetisation: does needle size matter?
    Faiza Khalid

    I greatly appreciate the well-advised comments from the reader on my case report, ''Fatal air embolism following local anaesthetisation: does needle size matter?''. (1) They discuss the significance of proper positioning prior to performing the biopsy. While having the appropriate hemithorax in ipsilateral-dependent position certainly minimizes the motion and reduces the risk of air embolism as the core biopsy needle tra...

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  • Kite surfing: epidemiology of trauma: literature review methods
    Tom Roper

    I read with interest Dunne et al's paper kite surfing: epidemiology of trauma. They state that 'a comprehensive review of EMBASE, PubMed and Google Scholar was conducted' and that 'the search strategy included medical subject headings (MeSH) kitesurf/kitesurfing/kitesurfing hip/kitesurfing pelvis/kitesurfing fracture/kitesurfing injury'. At the time of writing, (3 April 2018) none of these terms may be found in the MeSH...

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  • Is cold only a biting bystander in this story?
    Guy-Andre Pelouze

    I have several points about this interesting case report.

    1/ The first point that surprised me is this: apparently, this patient has had neither at the end of the procedure nor after an intercostal infiltration with long-acting local anaesthetic drug

    2/ Then this could have helped in both diagnosis and treatment. The disappearing or alleviation of pain would have clearly identified the intercostal nerv...

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