eLetters

59 e-Letters

published between 2001 and 2004

  • Is oral vitamin B12 a prefect replacement for its parenteral form in all clinical situations?
    Sudhir Kumar

    Dear Editor

    I read with interest the recent article by Nyholm E et al.[1] It is indeed an exciting prospect to be able to safely and effectively switch over from the traditional parenteral form of vitamin B12 to the oral form. However, I would like to make certain observations.

    The group of patients included in this study is highly heterogeneous with majority of them (almost two-thirds) being neg...

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  • Myoclonus & Sub-acute Scerosing Pan Encephalitis
    Jayendra R Gohil

    Dear Editor

    The differential diagnosis of JME should have mentioned specifically Sub-acute Scerosing Pan Encephalitis (SSPE), although progressive myoclonic epilepsies have been mentioned. SSPE occurs in India as measles still occurs and the age for first symptom of SSPE is similar to that of JME. SSPE carries a poor prognosis but JME responds to sodium valproate.

    The diagnosis of SSPE is based in clin...

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  • Reversible thalidomide neuropathy
    Sudhir Kumar

    Dear Editor

    Thank you very much for an excellent review of thalidomide. It really made an interesting reading.

    I would like to describe a case of thalidomide-induced peripheral neuropathy that I came across. A 58-year old man was diagnosed to have multiple myeloma three years ago and was treated with a combination of melphalan and steroids. He responded well to that treatment protocol. He presented eigh...

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  • Perichondritis following elective surgery
    Nicholas White

    Dear Editor

    I read with interest the description of perichondritis following ear piercing by Yahalom and Eliashar.[1] As well as the increasing incidence of perichondritis following piercing of auricular cartilage, it can also be a problem following elective surgery. Correction of prominent ears (otoplasty/pinnaplasty) is a procedure that can be carried out in the United Kingdom within the National Health Service on...

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  • Cardiac involvement in HIV infected people in Cameroon
    Divine Nzuobontane

    Dear Editor

    We welcome Barbaro’s very pertinent comments; especially concerning HAART therapy and HIV associated heart disease. Like many developing countries, HAART therapy has only recently been introduced in Cameroon, and access to the treatment is still very limited. Until now, it has therefore been difficult to collect any data on the metabolic and cardiovascular complications of HAART therapy in Cameroon. How...

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  • Dorsalis pedis arterial pulse: palpation using a bony landmark
    Jonathan C Hobson

    Dear Editor

    We read with interest the article by Mowlavi et al.[1] and agree that the palpation of pedal pulses is a useful clinical tool. Therefore any attempt to standardise the technique of palpation must be applauded.

    Using the ‘navicular’ method, the authors palpated 78% of pulses in a group of patients under the care of the surgical team. Unfortunately they do not describe the past medical h...

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  • Enchephalitis due to dengue infections
    G.N. Malavige

    Dear Editor

    Dengue haemorrhagic fever (DHF) is one of the leading causes of morbidity and mortality in the tropical and subtropical countries. Although, the dengue virus when compared to other arboviruses do not cause significant central nervous system involvement it can be an important cause of encephalitis and Encephalopathy when taking in to account the large epidemics that occur due to the virus.

    DHF i...

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  • Unusual ECG in pulmonary embolism
    Bimal K. Agrawal

    Dear Editor

    Diagnosis of Pulmonary embolism is very challenging and any clue from anywhere is worth mentioning. In this regard Dr Athar's above case report is very interesting. But there are certain points in discussion which needs reappraisal.

    In the report authors have mentioned that QT was prolonged when the patient had developed pulmonary embolism which was expected considering the fact that heart rate...

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  • Cardiac involvement in HIV-infected people in Cameroon
    Giuseppe Barbaro

    Dear Editor

    The article by Nzuobontane et al.[1] reports the involvement of the cardiovascular system in an african country, reflecting the condition we observed some years ago before the introduction of HAART.[2] The introduction of HAART has significantly modified the course of HIV disease, with longer survival and improved quality of life. Although there is no evidence from prospective studies to suggest th...

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  • What counts is inspiring confidence
    Santhosh Rajagopal

    Dear Editor

    The contents of the letter evoked a similiar chord in me. Last year, I had the mortification of seeing my father in a comatose state after a sudden onset of Meningitis. He himself was and is a practising Paeditrician and the other son of his, my elder brother is also a doctor. That night I was alone with him and saw him deteriorate overnight from an ordinary "flu" to full blown Meningitis. We had an anxi...

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