eLetters

1513 e-Letters

  • Re: MMR vaccine in children allergic to egg
    Adam Finn

    Dear Editor:

    We note Riordan's response to our editorial on the issue of MMR vaccine and allergy[1] and the recommendations put forward by Khakoo and Lack[2] on this topic. While we agree that conflicting advice creates confusion, we cannot agree with his proposed "pragmatic approach". This amounts to a pointless waste of time and resources - greater than that proposed by anyone else to date - which will simply...

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  • MMR vaccine in children allergic to egg
    Andrew Riordan

    Dear Editor

    Two reviews of MMR vaccine and egg allergy have recently been published. [1, 2] One appears in the Royal College of Paediatrics and Child Health's own journal (Archives of Diseases in Childhood),[1] the other has been endorsed by the Committee on Infection and Immunisation of the Royal College of Paediatrics and Child Health.[2] The two articles differ in their recommendations of which children should be g...

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  • Response to Prof. Analado Cantani
    Berthold Koletzko

    The comment of Dr. Cantani (Arch Dis Child rapid response, 2 June 2000) is interesting and reemphasizes our conclusion drawn in the joint statement of ESPGHAN and ESPACI (Arch Dis Child 1999;81:80-84) that in view of controversial judgements more studies are required to further elucidate the effects of soy protein based formulas in infants with food allergies. Although Cantani claims that 80-100% of infants with IgE media...

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  • Indices for assessing nutritional status at birth
    Shabih Manzar

    Dear Editor:

    I read with interest the article by Raynor and Rudolf[1] comparing the anthropometric indices of failure to thrive. In the same context, I would like to share the findings of our study which was done to compare the indices used for assessing nutritional status at birth. The indices used were the birth weight, Ponderal index and the CANSCORE (Clinical assessment of nutritional score).

    A 20 co...

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  • Spacers. the last word? I doubt it.
    Peter Barry

    Dr Marcovitch's comments about Heather Zar's article (Arch Dis Child 2000;82:495-8), championing the use of home made spacers and in particular the coffee cup, do not stand up to a closer examination. In a recent randomised study of the bronchodilator effects of different spacers from the same authors as the ADC article, in 44 children with moderate...

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  • Anthropometry and Failure to Thrive
    Ed Cooper

    Dear Editor:

    Did Raynor and Rudolf[1] look at height or head circumference as anthropometric predictors of developmental, dietary and eating problems? They measured height in order to calculate the Waterlow method of classifying wasting, and head circumference is easier to measure accurately in the field. Waterlow’s 1973 contribution[2] was to divide the weight-for-age deficits classified by Gomez et al in 1956...

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  • Dietary products used in infants for treatment and prevention of food allergy
    Arnaldo Cantani
    Dear Editor

    In a not cited paper published by Pediatric Allergy Immunology I have detailed everything about soy formulas (SFs). Children with atopic dermatitis fare well on SFs, those with colitis/enterocolitis have reactions to soy, but Burks demonstrated that these are not IgE-mediated, therefore it is improper to classify such reactions as allergenic.

    In Table 4, 19.8% of children (mean) reacted to SFs, but...

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  • Are we requesting too many DMSA scans?
    A H Sackey
    Dear Editor

    The recent article by Christian et al (1) highlights the value of clinical features in assessing the risk of renal scarring and therefore the need for DMSA scan after urinary tract infection (UTI). We recently performed a case note study to assess the recording of fever, malaise, recurrent UTI and urine culture results in children investigated with DMSA scan after UTI. Between April 1996 and October 199...

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  • Guidelines for the ethical conduct of medical research involving children
    William Tarnow-Mordi

    Dear Editor:

    While strongly supporting this document, I think that its recommendation that research in children should not simply duplicate earlier work is open to misinterpretation.

    Many randomised studies in paediatrics are too small and under powered to provide conclusive results. (1, 2) Meta analysis of multiple similar studies provides a useful tool for overcoming the limitations of inadequate...

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  • Sputum induction not more sensitive than gastric lavage
    H E Wiersma

    Dear editor:

    With interest we read the study of Zar et al¹ on the usefullness of sputum induction in infants and young children for the diagnosis of pulmonary tuberculosis. Bacteriological confirmation of pulmonary tuberculosis in infants and young children remains a problem because it is difficult to obtain sputum. Therefore, in young children, gastric lavage is the recommended method for the collection of res...

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