129 e-Letters

published between 2016 and 2019

  • 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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  • Mitral stenosis - still a challange with a myriad of features,
    Nitin Patil

    Rheumatic heart disease leading to mitral stenosis is seen more often in the developing countries than in the developed world. The patients are quite asymptomatic at rest until the 2nd or 3rd decade, when they may present with various signs and symptoms like dyspnoea on exertion, palpitations, easy fatigebility, dizziness, coughing up blood, chest pain or discomfort, and swelling in legs and upto 15% of patients may pr...

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  • Comment to "Fatal air embolism following local anaesthetisation: does needle size matter?
    Gernot Rott

    I read with interest your case report (1), however I have to make the critical comment, that patient position in your case indeed was one essential factor of air embolism. You attempted to biopsy a lung nodule of the left lower lobe in dorso- lateral position with patient placed in prone oblique position on the right side. You should have placed patient in ipsilateral-dependent position, in other words on the side of the n...

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  • No Incision No Drainage
    Lawrence O"Brien

    It has been known for years that kerion celsi can be misdiagnosed as bacterial infection and that incision and drainage is not only unnecessary but inappropriate treatment. (See these: Journal of Pediatric Surgery Volume 42, Issue 8, August 2007, Pages e33-e36; Feetham JE, Sargant N Kerion celsi: a misdiagnosed scalp infection Archives of Disease in Childhood 2016;101:503; and finally British Association of Dermatologists'...

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