135 e-Letters

  • Lessons from an unsuccessful local attempt to tackle childhood overweight and obesity
    Nicola Haisman

    Dear Editor,

    Whilst we greatly enjoyed Mary C J Rudolph’s “Best Practice” article on “The Obese Child” [1], we cannot agree with her conclusion that obesity fulfils most of the criteria for a condition that justifies screening. Our own local experience in Solihull, West Midlands, might illustrate this point.

    Using a grant from the Children’s Fund, (www.cypu.gov.uk/corporate/childrenstrust/index,cfm)...

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  • The 'more missed' status epilepticus
    Santosh Venketraman Kondekar

    Dear Editor,

    In India, we come across many cases of status epilepticus in toddler age group. These children usually do not have a fever associated and have an history of improper breast feeding and weaning.

    The children may have clinical evidence of rickets, which had been neglected. The common cause of these children getting rickets is dietary, namely lack of vit D and inadequate sun exposure. The chil...

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  • Re: Use Your Ears
    Robert W Marshall

    Dear Editor,

    We read with interest the article by O’Hare et al [1] and would like to congratulate the authors on their interesting case, but would like to make the following points:

    • Assessment of the musculoskeletal system is poorly performed not only by adult medical trainees [2,3] , but also by paediatric trainees: a recent survey showed that only 1.6% of general paediatric admissions...
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  • Use your Ears
    Debajit Sen

    Dear Editor,

    We read with great interest the article by O’Hare et al [1]. We commend the general educational messages of the authors but feel compelled to highlight some important errors and omissions.

    In the table of differential diagnosis of monoarticular arthritis, it is also important to consider the diagnoses of trauma/non-accidental injury, the exclusion of which would be the prime indication for...

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  • Doubts about diagnosis
    Ulrich Heininger

    Dear Editor

    I enjoyed reading the first edition of the "Education and Practice Edition" a lot. However, after having read the article "Use your eyes" I was not convinced that Oliver's clinical presentation truely was caused by Borrelia burgdorferi infection, and I would like to challenge the authors for the following reasons:

    1. Erythema migrans usually is a mild disease that hardly ever leads to...

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