eLetters

104 e-Letters

published between 2003 and 2006

  • Complications of coeliac disease-Do not forget neurological manifestations
    Rajesh N Bankar

    Dear Editor,

    Coeliac disease gluten-sensitive enteropathy remains under-diagnosed and can have serious complications. [1] Gluten sensitivity has various manifestations such as enteropathy, dermatopathy and neuropathy. Furthermore, due to the disease overlap about 8% of patients with coeliac disease develop neurological manifestations. [2] The most common manifestations are ataxia and peripheral neuropathy; and rapidly...

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  • Practical issues on altitude illness
    Kaushal R Pandey

    Dear Editor,

    The author rightly mentions that many people on expedition try to avoid prophylactic diamox.[1] It is not just because people want to experience the natural or the side effects of the medicine but in my experience in the Everest region, many western trekkers did not want to take diamox because they believed it masks the symptoms of Acute Mountain Sickness. Diamox accelerates the natural process of acclimat...

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  • Reply letter to: Acute mountain sickness: medical problems associated with acute and subacute exposu
    Laxmi v Ghimire

    Dear Editor

    It was interesting to go through the informative article on mountain sickness by C Clarke. [1] There are some points we wish to make.

    The author mentions that the preventive dose of acetazolamide for Acute Mountain Sickness(AMS) is 125mg but does not mention its role in the treatment of AMS. Acetazolamide is used widely in the Himalayas at a dose of 250 mg twice daily until the symptoms resolv...

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  • Safety of Low Molecular Weight Heparin in Renal Failure
    Aung K Sett

    Dear Editor

    Low Molecular Weight Heparin (LMWH) has been shown to be effective in the management of venous thrombosis. However, there is currently insufficient data of its safety at therapeutic dose in patients with renal failure. There is an increased potential of accumulation of antifactor Xa activity depending on the extent of renal impairment and the type of LMWHs(1). Hence, the risk of haemorrhage may be greater...

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  • Re: Article relating to Paracetamol in the Postgraduate Medical Journal (2006; 82:520)
    Priya R Sejpal

    Dear Editor

    In my capacity as Professional Ethics Pharmacist at the Royal Pharmaceutical Society (the professional and regulatory body for pharmacists), I have been asked to write to the Postgraduate Medical Journal on behalf of the Royal Pharmaceutical Society’s Law and Ethics Committee.

    An article relating to the sale of paracetamol from registered retail pharmacy premises and non-pharmacy premises...

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  • Alcoholism and Micronutrients
    Venkataswamy Narayana Mahesh

    Dear Editor,
    This artice from A Shenkin [1] is timely and very informative on micronutients in health and their role in preventing disease. As mentioned in the article, pre-existing nutritional deprivation has consistently been shown in studies as a very good indication for micronutrient replacement. [2] Detsky's subjective global assessment tool is well validated and to be used when nutritional intervention...

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  • The need of risk factors identification
    Rizaldy Pinzon

    The article from Myint et al [1] is interesting, simple and easy to understand for clinical practitioners like me. Post-stroke seizure is a neurological emergency associated with significant morbidity and mortality. Understanding the factors will help practitioners give patients and their families adequate information about the possibility of post-stroke seizure and post-stroke epilepsy. The question is "Should we give prophy...

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  • Interstitial Lung Disease: epidemiology and progress.
    Roberto Carbone

    We read with interest the review of Bourke and colleagues.(1) Interstitial lung disease (ILD) and especially idiopathic pulmonary fibrosis (IPF) epidemiology in the United States has not yet been well characterized.(2) The review of Bourke et al. has not addressed this issue. The data of ILD registries confirmed that epidemiological registries can be useful tools to investigate rare or relatively rare disorders, (e.g....

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  • Aphthous ulceration and rheumatic diseases
    Michal R. Pijak

    In his article on aphthous ulceration Scully(1) mentions several systemic rheumatic diseases including Behcet's syndrome, Reiter's syndrome and Sweet’s syndrome, that may result in aphthous-like ulcers. I am somewhat surprised that Scully omitted the association of such lesions with systemic lupus erythematosus and Wegener's granulomatosis.

    I would like to emphasize that painful or painless oral ulcers observ...

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  • Diazepam and Valium
    Dr. David Adams

    Dear Editor,

    I am studying the relation of Parkinson's Disease to tranquilizers. In particular...Diazepam. Which is a dopamine antagonist and, if properly addressed, may offer a 'cure' of a large number of patients. This is a 'team' effort toward the elimination of PD. If, you would care to collaborate with me, I would very much like to hear from you as soon as possible to determine how this may be addressed. I hav...

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