eLetters

85 e-Letters

published between 2005 and 2008

  • 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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  • Authors' comment
    Dr Shaun L Greene

    Dear Editor,

    Further to our paper published today, we would like to take the opportunity to make it clear that the MHRA actions in September 1998 operated at two levels. The first of these was legislation that limited pack-sizes of paracetamol. The second of these was a recommendation from the MHRA that advised voluntary restraints to prevent multiple packet sales. Both of these recommendations have been common...

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  • Quality not quantity
    Kamal Mahawar

    Dear Editor,

    It was interesting to read this article by Dakik et al. However I think that the assessment of an individual author or institutions on the basis of the number of the articles published and the "Impact Factors" of the journals is fundamentally flawed and lies at the root of various issues in biomedical literature. At its best, Impact Factor is only an approximate assessment of the relative merit of an...

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  • Broncho-alveolar lavage is very useful in early diagnosis of invasive pulmonary strongyloidiasis
    Karumathil Madathil Murali

    Dear Editor,

    We encountered a patient who presented with acute onset of shortness of breath after two days of diarrhea, while being on prednisolone and cyclophohsphamide for nearly 4 weeks for adult onset nephrotic syndrome. Chest X-ray showed bilateral extensive infiltrates and differential diagnosis of bilateral pneumonia vs pulmonary edema were cnosidered. Patient rapidly deteriorated and had to be intubated on day...

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  • Classic diseases revisited: Lyme neuroborrelioses Overdiagnosis
    Deborah Frye-McKeen

    Dear Editor,

    With the advent of designer pathologic therapies based on an individual's genetic code on the horizon, those who dismiss LB patients' complaints would do well to consider the fact that all patients' immune systems are not created equal. The answer is not in the Western Blot. It is in the patient's already-existing autoimmune phenotype, which is based on genotype + environment. For example, Patient A...

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  • Diagnosis of NSAID enteropathy using Capsule Endoscopy - United Kingdom pilot data
    Reena Sidhu

    Dear Editor,

    We read with interest the review by Adebayo and Bjarnason on non- steroidal anti-inflammatory drug enteropathy. The article cites capsule endoscopy (CE) as an important tool to diagnose intestinal damage caused by NSAID (1). The diagnosis of NSAID induced enteropathy prior to CE was limited, as visualization of the small bowel using other modalities was often suboptimal (2). In addition, patient’s s...

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  • Keeping ‘diabesity’ in check – the onus is on clinicians
    Arun Natarajan

    Dear Editor,

    The finding that most patients with type 2 diabetes are either obese or overweight (1) is not surprising, but is nevertheless worrisome. Recently published data (2) show that there has been a steady increase in the prevalence of type 2 diabetes in England and Wales between 1994 and 2001. This study which evaluated a large number of individuals in several primary care centres also found that prevale...

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  • Misguided Treatment
    Eric K. Pritchard

    Dear Editor,

    The recommended T4 only treatment may be preferred, but if the peripheral metabolism of T4 to T3 is deficient, the addition to or the replacement of T4 therapy with a T3 therapy is indicated. One might liken T4 to the crude oil that we extract from nature. In order to use it in our vehicles we must refine it to make an active hydrocarbon fuel - like T3. If we run out of fuel but not out of crude, w...

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  • Autonomic dysreflexia caused by blocked catheters
    David Ash

    Dear Editor,

    Bycroft et al provide a useful overview of autonomic dysreflexia. However as a nurse with many years experience of managing episodes of AD in Spinal Cord Injured patients, I would disagree with a couple of the practical interventions suggested.The authors twice mention 'flushing' blocked catheters, which is generally not recommended for two reasons: it may be possible to force liquid through the cath...

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