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At a single hospital in France (Lancet 2012;380:134–41; see also Comment, ibid: 90–2) a total of 2938 women were operated on for female genital mutilation injuries in 1998–2009. The mutilative procedures had been performed at a mean age of 6.1 (SD 3.5) years, mainly in Mali, Senegal, and the Ivory Coast but 564 patients had undergone female genital mutilation in France. Almost all of the women (99%) had given recovery of identity as a reason for requesting surgery. Other reasons were to improve sex life (81%) and to reduce pain (29%). Only 866 patients (29%) attended for 1-year follow-up but most of them reported improvement in pain and in sexual satisfaction. Women who have undergone female genital mutilation may benefit from reconstructive surgery but there may be societal and psychological difficulties and a multidisciplinary approach is necessary.
It has been estimated that 2.6% of children have developed egg allergy by the age of 2.5 years. The only approved treatment is dietary avoidance but that may be difficult to ensure. Now (N Engl J Med 2012;367:233–43) a multicentre trial of oral immunotherapy has been …