34 e-Letters

published between 2005 and 2008

  • 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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  • the riddle of the association of alpha 1-antitrypsin deficiency, henoch-schonlein purpura, and ANCA
    oscar,m jolobe

    Although examples of interstitial lung disease such as diffuse alveolar haemorrhage and interstitial fibrosis were the only ones acknowledged to be associated with Henoch-Schonlein purpura(HSP) in a recent review(1), the association of HSP and pan-acinar emphysema attributable to alpha-1 antitrypsin(AAT) deficiency also deserves mention(2), especially in view of the speculative relationship between anti neutrophil cytosp...

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  • Alopecia? Think to celiac disease
    Valentina Kiren

    We found Lio’s paper on alopecia in children (Arch. Dis. Child. Ed. Pract., December issue) very interesting, but noticed that the author does not mention celiac disease among the autoimmune diseases associated with alopecia areata.

    Both thyroid dysfunction and alopecia may point to celiac disease even in the absence of gastrointestinal complaints.[1, 2] Alopecia areata is in fact significantly associated to cel...

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  • Osteoporosis in pediatrics: don't forget celiac disease
    Valentina Kiren

    We read with great interest the paper by Shaw “Osteoporosis in pediatrics” (Arch. Dis. Child. Ed. Pract., December issue). The author doesn’t cite celiac disease as a specific cause of osteoporosis in children, although he correctly recommends celiac screening in case of suspected secondary osteoporosis.

    A diminished bone mineral density with z score lower than -1.0 standard deviation (SD) can be found in up to...

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  • alopecia can also be caused by chemical hair relaxants
    oscar,m jolobe

    Alopecia may also be attributable to the use of hair relaxants such as sodium hydroxide and guanidine hydroxide, respectively(1) or other products containing sodium, potassium, or guanine sulfites or thioglycolates(2) to straighten or "relax" tightly curly(spiral) black hair of the type found among South African blacks(1) or African- Americans(2). These products work by rearranging the cysteine disulfide bonds of the hai...

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  • Author's Reply
    Peter A Lio

    Dear Editor,

    Dr Roberts questions the point of treating warts and molluscum which are benign and will often spontaneously resolve, and expresses concern about discussing these methods of treatment at all. In terms of the former, I regret that I did not more explicitly state that the so-called "tincture of time" is, by far, the preferred method of treating these lesions. The focus of the review is on those cas...

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  • Warts and Molluscum: An impractical guide
    Stephen Roberts

    Dear Editor

    The August edition of ADC Education and Practice supplement prominently displays on the front cover an infant receiving treatment for molluscum lesions on the thigh. The associated article on the management of warts and molluscum contagiosum explores available treatment options and the differential diagnosis of these benign skin infections.

    What messages are conveyed in this review of Nort...

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