eLetters

498 e-Letters

published between 2002 and 2005

  • Author's reply to Taylor
    Hassib Narchi

    Dear Editor,

    We can reassure Taylor that the wider context of hypertension associated with multicystic dysplastic kidney (MCDK) was not missed in this review, for the following reasons:

    1. The purpose of the review was to quantify the risk of hypertension associated with a unilateral MCDK based on longitudinal cohort studies, irrespective of the mechanism(s) for that hypertension, and which single case re...

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  • Kayser-Fleischer ring
    John Torpiano

    Dear Editor,

    Many thanks to Doctors Kerur and Kumar for providing the image of a human eye with a brown deposit at the outer border of the cornea, which is seen in Wilson disease. This clinical sign is actually known as Kayser- Fleischer ring, not Kayser-Fischer ring as indicated in the text, and is named after Bernhard Kayser (1869 - 1954) and Bruno Fleischer (1874 - 1965).

  • Probiotics in atopic dermatitis - no evidence of effect
    Lindsay J Shaw

    Dear Editor,

    I was amazed to read the positive tone of the discussion in a recent article published in your journal which concluded that supplementation with a probiotic is beneficial in improving the extent and severity of AD in young children (Arch Dis Child 2005;90:892-897). This was despite the fact that the data clearly showed no significant difference in improvement between the placebo and treatment groups....

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  • Risk of hypertension in children with multicystic dysplastic kidney
    C Mark Taylor

    Dear Editor,

    The power of a systematic review is only as good as the question being posed. In his review of the risk of hypertension in children with multicystic kidney disease (MCKD), Narchi misses the wider context.[1] There may be more than one relationship between the diagnosis of MCKD and blood pressure (BP). Perhaps the component in the mind of the author is that a multicystic dysplastic kidney might in itse...

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  • Acid suppression in children with asthma and gastro-oesophageal reflux: more evidence is needed
    Jitendra Kumar Sahu

    Dear Editor,

    We read with interest the recent article by Stordal et al. on acid suppression in children in with asthma and gastro-oesophageal reflux disease.[1] The authors concluded omeprazole treatment did not improve asthma symptoms or lung function in children with asthma and gastro-oesophageal reflux disease.

    Since Kennedy.[2] first reported the association between gastro-oesophageal reflux and lung di...

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  • Diabetes services in the UK: difficulties with electronic submission of audit data
    Patricia A McKinney

    Dear Editor,

    We read with interest the paper by Edge and colleagues[1] on paediatric diabetes services in the UK which reports on data received from 169/216 (78%) of hospitals identified as delivering care to children with diabetes. It reported that 95% of these clinics had registers of their diabetic children (an improvement on previous years) and 75% of those clinics held the data electronically. In a survey (Sep...

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  • Hygiene score and survey
    Pham Thi Van Anh

    Dear Editor,

    FAO: Sherriff et al: I am not clear on what criteria you ranked hygiene score. What is equivalent to hygiene score 0,1,2,...,11+? Could you please explain more for me? In addition, could you please send me the model of questionairre base survey. I am looking forwards to hearing from you.

    Dr Anh

  • Screening for colour vision defects needs to be effective
    Phillippa M Cumberland

    Dear Editor,

    The conclusion to our study[1] was that there is little to be gained by continuing the current screening of school children at 11 years for colour vision defects. In his response, Dr Henderson agrees that the current screening does not take into account the variability of both the genotype and phenotype of the condition and that advising all affected children similarly is overly simplistic and ineffe...

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  • Don't ever forget constipation
    A Reddy Hande

    Dear Editor,

    We read with great interest the article by D Singh-Grewal et al.[1] regarding the value of circumcision for the prevention of recurrent UTIs in boys.

    The article presents a reasonable case for considering circumcision in some boys with recurrent UTIs.

    However, we would like to bring to the authors’/readers’ attention that both the original article and the quoted papers[2] make no ment...

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  • Anema in hospitalized infants: Iron deficiency?
    Tomas K Walter

    Dear Editor,

    Wall et al. treated infants with alleged iron deficiency anemia with several iron vehicles. However, anemia in hospitalized ill infants is mostly not due to iron deficiency, but to anemia of infection, present even with mild infections. That's why they find a paradoxical decrease of serum ferritin that rises with infection to fall after convalescence. Anemia and all other measures of iron infection no...

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