32 e-Letters

published between 2006 and 2009

    Chiara Zanchi

    Dear Editor,

    in the interesting paper “Is it my calcium, Doctor?” (1), the authors concluded that “Amy’s hypercalcaemia” is due to a “primary hyperparathyroidism” and they don’t cite celiac disease (CD) as a specific cause of hyperparathyroidism (HPT), although they first wrote that “she had a previous history of celiac disease for which she was on a gluten free diet” (GFD).

    CD is frequently associated...

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  • CHILD2015: Child Healthcare Information and Learning Discussion group
    Neil M Pakenham-Walsh

    Blair and colleagues mentioned CHILD2015 in their article and I would like to invite all ADC readers with an interest in this subject to join. Please see invitation below. To join, please go to: www.hifa2015.org/child2015-forum and click on 'Join CHILD2015'.

    With thanks, Dr Neil Pakenham-Walsh MB,BS Co-moderator, CHILD2015

    Coordinator, HIFA2015 Global Healthcare Information Network 16 Woodfield Drive C...

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  • Difficulties with a definition of latent mycobacterium tuberculosis infection
    Michael Eisenhut

    The authors of a recent article1 reporting on the management of an outbreak of tuberculosis in a crèche in Cork had difficulties with the explanation of what we currently manage as latent M. tuberculosis infection. In their first paragraph they defined “TB” as active pulmonary tuberculosis. Where they reported on communication to the parents of the differences between tuberculosis infection and active disease they menti...

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  • Green for Danger
    Robert B Fitzsimons

    Sir, Your two recent articles dealing with malrotation of the intestine (1,2), whilst being very specific with regard to the colour of the vomitus (green), were perhaps not specific enough. Yellow vomiting as a sign of malrotation has been noted by Millar et al (3), Walker et al (4) and personal experience some years earlier. Awareness of this may aid early diagnosis.

    Reflux of yellow bile into the stomach,...

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  • Endotracheal tube length for neonatal oral and nasal intubation
    Yoginder Singh

    Dear editor,

    Kempley et al (1) have recommended the length based on the gestation of the neonates rather than the rule of ‘7-8-9’, which has been being used traditionally over the years. I have read both articles with great interest – excellent review by Wylie’s (2) on neonatal resuscitation published in education and practice of Archives diseases in childhood and Endotracheal tube length for neonatal intubation...

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  • pH-impedance studies have greater clinical utility than pH-monitoring alone.
    Michiel P. van Wijk

    Dear Sir,

    With interest we read the paper by Tighe et al about the use of pH- monitoring in childhood.(1) However, we believe that the authors overestimate the role of this technique and their omission of a detailed discussion of the utility of pH-impedance monitoring renders this review incomplete.

    The term ‘gold standard’ can no longer be applied to 24-hour pH- monitoring because pH-probes only d...

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  • How to use: a rating score to diagnose attention deficit hyperactivity disorder
    Dr Somnath Banerjee

    Carter and Syed-Sabir1 gave a good account on the utility of rating scales in ADHD. The time was appropriate when the new NICE guidance was published. 2. However, I wish to emphasise to the readers that in UK, many centres use the short version of Conners' Rating Scales- Revised (CRS-R).3 There are significant differences between the short and long versions of the CRS.4 The Cognitive Problems / Inattention subscale on the...

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  • Bile stained vomiting in the infant
    David W Pilling

    I have just read this very good article in “Problem solving in clinical practice” (Arch Dis Child Educ Pract Ed 2008:93;84-86)

    Unfortunately Figure 1 is very unlikely to relate to the patient in the case study as there are umbilical arterial and venous lines in situ which would not be the case in a 3 week old. It is disappointing that the authors could not find a suitable example from their extensive experience...

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  • Need for investigations in young infants
    C Vidyashankar

    Sir, Should all infants less than three months of age with fever be investigated, including those in the "low risk" category?

  • Management of children with Guillain-Barré Syndrome
    Richard Appleton

    The review of Guillain-Barre Syndrome (GBS) (Arch Dis Child Educ Pract Ed 2007; 92: ep161-ep168) was clear and comprehensive and will be of practical value to all who manage these children, whether or not they are admitted to an intensive care unit. The authors appropriately address the important issue of communication and emphasise that this may be very difficult if not impossible for the child and young person who is c...

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