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Consumerism in healthcare can be detrimental to child health: lessons from children with functional abdominal pain
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  • Published on:
    Presumption of functional abdominal pain needs re-evaluation in presence of eosinophilic infiltrates

    Dear Editor,

    Lindley and colleagues [1] found that eosinophilic infiltration was common in their cohort of children with abdominal pain. Ordinarily this finding would militate against the diagnosis of functional pain but the authors say that mucosal biopsy abnormalities have been established in functional gastrointestinal disease of adulthood. They quote 2 references to support this statement. We find this mislea...

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    Conflict of Interest:
    None declared.
  • Published on:
    Investigations in functional abdominal pain
    • Ellen Crushell, Paediatric Lecturer
    • Other Contributors:
      • Marion Rowland

    Dear Editor,

    We read with interest the article by Lindley et al. [1] outlining their concerns about consumerism in healthcare focusing on the potential detrimental effects on the child with functional abdominal pain (FAP). All of the children had extensive investigations carried out by the authors according to in house clinical service guidelines for the management of children with abdominal pain.

    While th...

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    Conflict of Interest:
    None declared.
  • Published on:
    Postmodern Paediatrics

    Dear Editor,

    If one substitutes CFS/ME for FAP in the paper of Lindley and colleagues it would lose none of its sense. The situations of confrontation they describe are similar to those the Chief Medical Officer aimed to address and resolve when he established the working party on CFS/ME. It has resulted in healthy (and healing?) dialogue between professions and patients and collaborative work; the recently publi...

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    Conflict of Interest:
    None declared.