154 e-Letters

published between 2013 and 2016

  • Re:A case of misdiagnosis: chronic fluoride intoxication?
    Declan T Waugh

    Dear Editor,

    I wish to draw attention to the following misdescription in my orginal letter (dated 28th Nov 2015). I had incorrectly stated that Amoxicillin was a fluoroquinolone. I had assumed that since Hong et al (2005) found a significant association between the use of this antibiotice and dental fluorosis that it must be a fluoroquinolone antibiotic. I was unaware that the letter had been published in the B...

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  • ICP complications
    Ciaran S. Hill

    There are several methods of measuring intracranial pressure (ICP). These include insertion of an ICP 'bolt' into brain parenchyma or subdurally through a small burr hole, direct placement of a pressure monitor under the dura following a craniotomy/craniectomy, or insertion of a drainage catheter into the ventricles allowing direct transduction of cerebrospinal fluid (CSF) pressure. The later is known as an external vent...

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  • Trismus, the first symptom in a challanging diagnosis of Tetanus
    Arvind Ganesh Kulkarni

    Although Tetanus has become a rare disease in most of the developed countries it had been quite common disease with high mortality in the developing countries like India. We have seen a variety of presenting symptoms in patients who ultimately were diagnosed as Tetanus. Now of course it is rare to find a patient developing Tetanus because of the universal immunization against the same. The authors are right in expressin...

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  • Ramaria rufescens photo
    David Lubertozzi
    The photo above the caption "Ramaria rufescens" is clearly not in the genus Ramaria, the "coral fungi". A quick Google search of the name would have revealed this. As an amateur mycologist, I find it hard to believe that this article received peer review by anyone with professional training in mycology.

    Conflict of Interest:

    None declared

  • mistake
    chanan tauber

    In trans sccaphoid perilunate dislocation as shown on the radiographs the lunate is not dorsaly dislocated.the lunate stays in its place the peri lunate carpal bones are dorsaly displaced.

    Conflict of Interest:

    None declared

  • Once again, the "the MRI sequence dilemma!"
    Osama SM Amin MD, FACP

    Many thanks go the authors for reporting this very interesting finding.

    A minor comment, please:

    Figure 1, although it is somewhat blurred and dark, the MRI sequence it contains seems be to the "T2 FLAIR" one, not the T1 with Gadolinium, as the manuscript reads. Therefore, the lesions it demonstrates are the non- suppressed hyper-intensities from the T2-weighted film (which is not shown).


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  • Associated hypoparathyroidism?
    Kushal Naha


    Wilson's disease is known to directly affect parathyroid function resulting in hypoparathyroidism. In a patient with rickets, one would expect secondary hypoparathyroidism. Moreover, this patient likely suffered from vitamin D resistant rickets due to renal calcium and phosphate wasting. Were PTH and serum vitamin D levels assayed in this instance?

    Yours sincerely,

    Kushal Naha, MD

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  • Details and Interpretation
    Brian C O'Neill

    I did like this case report- honestly. However, I required more information to satisfy my curiosity of the case and had reluctance in accepting the conclusion regarding how this case validates the possibility that quetiapine is soley responsible for the apparent positive outcome. I would prefer to know why in 2009 he decided he wanted to curtail his drinking? Given that his recovery co-incided with a diagnosis of bi-polar...

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  • In response to Brunneroma with duodenojejunal intussusception: a rare cause of gastric outlet obstruction
    Andrew Mitchell

    Dear Editor,

    The photomicrograph in this case report is not that of a Brunner gland adenoma. It is of an adenomatous polyp of the surface epithelium.

    Yours sincerely, Andrew Mitchell MD

    Conflict of Interest:

    None declared

  • Breast implant-associated ALCL is ALK negative
    Roberto N. Miranda

    The case report by Parthasarathy et al. illustrates that breast implant-associated anaplastic large cell lymphoma (ALCL) can present as a locally aggressive tumor mass, and that this tumor can be refractory to chemotherapy and radiotherapy. In effect, the authors describe that the tumor was finally felt to be controlled after radical mastectomy including resection of the implant and its surrounding capsule.


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