eLetters

85 e-Letters

published between 2006 and 2009

  • Neuromytonia and heart block
    Jia Haur Tho

    Dear Editor,

    I read with interest the case reported by Dr De associating acquired neuromyotonia (NMT) and sinoatrial block.1 He correctly pointed out there was no previous literature describing the association between it and any kind of heart block. However, there was one case subsequently by Dr Liguori et al. suggesting between Morvan's syndrome and cardiac arrhythmia with antibodies to voltage-gated potassium ch...

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  • Cannabinoids as appetite stimulants
    Oscar, M Jolobe

    Ranged against the impressive array of endogenous appetite suppresants described by the author there is, not only ghrelin(1), but also the endogenous cannabinoid system, the orexigenic effects of the latter being purportedly mediated by cannabinoid receptors located in the hypothalamus(2). Just as ghrelin has been utilised for the purpose of stimulating appetite in anorexic cancer patients(3), and also in cachectic patie...

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  • The usefulness of serum IgA/C3 ratio in IgA nephropathy and Henoch-Schonlein glomerulonephritis
    Jae Seung Lee

    Dear Editor,

    We read with interest the concise review on Acute glomerulonephritis by Vinen et al.[1] The mechanisms involved in the pathogenesis of IgA nephropathy or Henoch-Schonlein glomerulonephritis (HSP-GN) are still poorly understood, but mesangial IgA and C3 deposition play an important role in the renal damage. Although the Japanese Society Nephrology reported that serum IgA of more than 350 mg/dl in adult...

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  • What is the proper route for administering adrenaline in anaphylaxis?
    Michal R. Pijak

    Dear Editor,

    I read with great interest the article by Gompels, et al. (1) which highlights the confusion regarding the correct dose, concentration, and route of administration for adrenaline recommended in the treatment of anaphylaxis. Although the authors rightly point out that improved training in this area is required, further clarification of some points is warranted, especially with regard to the proper...

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  • Confident complications: an insight into surgical mentality
    Andrew J Drain

    Dear Editor,

    I read with interest the article by Byrne on confidence during clinical tasks. In surgery confidence during a procedure must be considered together with confidence or change in confidence when complications arise.

    It is a fact well known that a surgeon with no complications is a surgeon performing no operations. Assuming the majority of surgeons do operate (although with the enforcement of...

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