492 e-Letters

published between 2005 and 2008

  • Glue Pulmonary Embolism in Interventional Radiology
    Conor O. Bogue

    Dear Editor,

    I read with interest the recent case report in Archives of Diseases of Childhood titled "Glue lung": pulmonary micro-embolism caused by the glue used during interventional radiology [1].

    The article states that 'accidental embolism following an angiographic procedure has been previously suspected in only one report'. I would like to draw attention to a number of other publications on this...

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  • Sterile Site Infection in Sudden Infant Death – Unanswered Questions
    Henry F. Krous, MD

    To The Editor,

    Goldwater’s paper “Sterile Site Infection At Autopsy In Sudden Unexpected Deaths In Infancy” (ADC Online First. September 15, 2008 as 10.1136/adc.2007.135939) raises several issues. His statement that 132 cases occurring between 1978 and 2004 fulfilled the 2004 San Diego definitional criteria for SIDS1 presumes retrospective assignment of this diagnosis in a very high percentage of the case given...

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  • A follow-up study of children hospitalised with community-acquired pneumonia.
    Alessandro Amaddeo

    In their study Eastham et al.1 concluded that CAP requiring admission to hospital is associated with deterioration of lung function and persistent respiratory symptoms. We would like to raise some issues regarding this study. Firstly authors state that there is increasing evidence that deficits in lung function and asthma are related to CAP in childhood, with two references in support of this statement. In the second and...

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  • Parent-based language intervention – Getting the full picture
    Julia Kreis

    Dear Editor,

    We have read with great interest the study on the parent-based language intervention [1] and congratulate the authors, as this study is unique in the German area with regard to the randomised design.

    However, we would like to point out to the readers some additional information on the context of the reported results.

    According to the register entry in clinicaltrials.gov [2], th...

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  • More is not necessarily better
    Charles Essex

    In the review of plagiocephaly Gill and Walsh say “physiotherapy may help and certainly will not harm”. Really? What evidence do they have for that comment?

    There are numerous side effects to supposedly harmless interventions such as this: • Time off work to take the child to physiotherapy. • Cost of getting to appointments and parking at the hospital. • Medicalisation or professionalisation of the child an...

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  • Can the UK Hib Experience Provide Lessons for Developing Countries?
    Linda R Ojo

    We read with interest the encouraging article by Ladhani et al (August 2008) demonstrating the decline in Haemophilus influenzae type b (Hib) disease in the United Kingdom (UK) following introduction of a booster dose.(1) As an increasing number of developing countries are introducing Hib vaccine into their routine immunization programs, it remains to be seen whether a booster dose is needed in these countries as well....

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  • Infant Spinal Subdural Bleeding
    Waney Squier

    Dear Sir,

    I read with interest the MRI study of spinal subdural bleeding by Koumellis et al (1). Detailed observational study can be of enormous value to our understanding of infant CNS pathology.

    However, there are several questions raised by this particular study. The authors note that little is known about spinal SDH in children with non-accidental injury, but exclude from their study all cases wit...

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  • Use of approriate inhaler devices for optimal delivery of inhaled corticosteroids
    Markku T Turpeinen

    We thank Dr Sonnappa and Dr Turner for their correct criticism about the use of inhaler devices for optimal delivery of inhaled corticosteroids. Concerning the present study, we would like to point out that dry powder inhalers were used for the inhaled corticosteroid and the beta-2-agonist according to the present guidelines. In order to achieve adequate teatment compliance, disodium cromoglycate was used as pressurised...

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  • Benzathine penicillin is a cheap therapy for primary prevention of rheumatic fever
    Ahmet Sert

    Dear Editor,

    We read with interest the once-daily amoxicillin versus twice-daily penicillin V in group A b-haemolytic streptococcal pharyngitis recently issued by the Archives of Disease in Childhood (1).

    The universal sensitivity of GABHS isolates to penicillin makes this an effective therapeutic option when the entire 10-day course of treatment is given; however, the arduous dosing regimen is often a...

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  • Appropriate inhaler devices for children with asthma
    Markku T Turpeinen

    Samatha Sonnappa brought out an important question about the use of appropriate inhaler devices in the treatment of asthma. In the present study in children 5-10 years of age we have solely used dry powder inhalers. The guidelines presented by Sonappa are the common recommendations in Finland as well: pressurised metered dose inhalers with spacer for children aged 0-5 years; and dry powder inhalers for children over 5 y...

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