118 e-Letters

published between 2010 and 2013

  • Devastating consequences which are avoidable
    John D Dalton

    Even given the frequent but absurd claims that circumcision itself is not harmful, this is a reminder that this practice has the potential for devastating consequences.

    The authors allude to the circumcision as a religious and traditional ritual in some cultures and as such this case would appear to arise out of traditional practices rather than therapeutic need. For a child to suffer this when the operation was t...

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  • Questioning the efficacy of fluconazole in the medical management of rhinocerbral mucormycosis
    Mariam A Balogun

    Dear Sir

    We thoroughly enjoyed reading this informative article of mucormycosis infection, umusually in an immunocompetent patient.

    We noted that following the patient's surgical management of presumed rhinocerebral mucormycosis infection, and an initial 3 day course of amphotericin B, the patient was commenced on oral fluconazole. However, according to Sun et al, 2002, most mucorales isolates are res...

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  • Notice for author's e-mail change
    Sung Uk Kwon

    I'm a first/corresponding author of this article. Because email server has been changed, old e-mail: mdksu@ilsanpaik.ac.kr will not be use. New email address is "prof.mdksu@gmail.com" Please correct past email address as a new one.

    Conflict of Interest:


  • Mummys case
    Kirsty Lancaster

    This is my mummys case, i just hope shes gonna be okay now as shes been through alot the last 15 months xx

    Conflict of Interest:

    None declared

  • Orgasmic headache is no joke
    Sayed S Bukhari

    This is a brilliant case report for which the authors, Singh and Jan deserved to be congratulated. It delivers the important message that something so cavalier and benign as orgasmic or coital cephalgia may be associated with something so sinister and potentially life threatening as intracranial haemorrhage. First of all orgasmic cephalgia needs to be taken seriously and secondly a prompt neuroimaging scan e.g. CT or M...

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  • Boston keratoprosthesis for visual rehabilitation in porphyria cutanea tarda
    Elisabeth I. Minder

    Sir, We read with interest the case report by Sati et al. The described procedure of replacement of a damaged cornea appears to be promising in other porphyria cases wiht severe eye onvolvement. We just question whether the diagnosis of porphyria cutanea tarda (PCT) is correct taking into consideration the severity of the symptoms in this patient. Unfortunately, the authors did not provide quantitative data of the porp...

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  • ALK amplification or rearrangement
    WL Lam

    Dear Sir,

    I read with great interest the article concerning amplification of ALK gene detected in a IMT of breast, largely because ALK gene amplification was recently described in inflammatory breast cancer. However, judging from the figure 3B illustrated, I suspect that a rearrangement rather than amplification occur as most nuclei demonstrate one yellow fused signal, one red signal and one green signal. ALK g...

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  • AD variants posterior cortical atrophy
    os hammer MBBch.,MSc.,MRCPsych.,IAPA

    Thanks to Dr Kai Ivar M?ller and Dr Svein Ivar Bekkelund for their very interesting case presented regarding Visual impairment and posterior cortical atrophy preceding rapid progressive dementia. Posterior cortical atrophy (PCA) is a neurodegenerative condition regarded as a progressive loss of visual processing skills and other posterior functions. Patients have difficulty integrating visual scenes, locating objects...

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  • cannon ball lung masses
    bala chandran

    sir, I disagree with the author in calling them nodules.In fact they are masses. The x-ray findings are quite characteristics to be called as a spotter. In a known case of malignancy elsewhere this is metastasis,unless proved otherwise If history is not known,which is the case most often,then it becomes difficult to make a convincing diagnosis.Therefore a differential diagnosis is a must.How to differentiate lung masses...

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  • Response to "Pneumoperitoneum in a perforated gastric ulcer"
    Thomas C Morris

    Dear Dr Lobao

    Thank you for your very clear and concise case report of this elderly patient who suffered a perforation of a previously undetected gastric ulcer.

    The Xrays and case are good from a basic teaching perspective, but I'm a bit confused as to what the "learning point" is supposed to be. What other clinical features would you have expected in the "non-elderly" to indicate a perforated viscu...

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