197 e-Letters

published between 2009 and 2012

    Antonio Carroccio

    Dear Sir, Some days ago we received a letter from colleagues in London asking us to comment on the article of Simeone and coll. reporting a lack of relationship between chronic constipation (CC) and cow’s milk allergy (CMA), recently published in ADC (1). Our English Colleagues referred that they had observed “dramatic cases” of chronic constipation unresponsive to laxative treatment which fully resolved on CM-free diet a...

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  • Intervene early to improve outcomes in intellectual development.
    Carol A Walshaw

    Poor weight gain over the first 6-8 weeks is known to be a risk factor in its own right for developmental delay, which can be demonstrated not only at school age but, as shown by McDougall et al as early as 4 months.1

    McDougall et al suggest that the Child Health Surveillance check at 6 -8 weeks provides the opportunity to identify infants with early weight faltering; and that future research could ascertain whet...

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  • Reasons supporting that a protective effect of early fish introduction is real
    Bernt Alm


    We understand the concerns of doctors Lin and Fu about reverse causation regarding the protective effect of fish on eczema at one year of age. We cannot, of course, be sure that reverse causation does not contribute to our results, but there are reasons that speak in favour of a real effect.

    Firstly, we found no correlation between time of onset of the eczema and age at introduction of fish....

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  • Patients are weighed but not plotted
    Udoka Onyeaso

    Most patients presenting to a paediatric department for acute care will be weighed as part of the nursing assessment especially because weights are important for drug and fluid prescriptions. Junior doctors however generally fail to take the next step in this opportunistic contact to plot these weights. Unless clinically indicated e.g. as part of body surface area for drug prescriptions, the height is often not measured,...

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  • Infantile hypertrophic pyloric stenosis in a deprived region of South Wales
    Kavitha Masilamani

    The study by T Sommerfield et al. (1) provides a valuable insight into the epidemiological trend of infantile hypertrophic pyloric stenosis (IHPS) in Scotland. It was interesting to note the proposed association between incidence of IHPS and deprivation.

    We have recently reviewed cases of IHPS presenting to our hospital, which is a medium sized district general hospital serving a deprived population in the Sou...

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  • Correction
    M. A. M. Pijpers

    To our regret we noticed an error in our systematic review “Currently recommended treatments of childhood constipation are not evidence based. A systematic literature review on the effect of laxative treatment and dietary measures (Pijpers et al.).”, published online 19 August 2008 (adc.2007.127233v1).

    We would like to make the following corrections:

    In table 4b, the correct first outcome measure for the...

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  • The effect of introducing fish may be confounded by eczema before the age of 6 months
    Ming-Chih Lin

    Alm et al. reported an interesting article stating that introducing fish before 9 months of age having beneficial effect on eczema in infancy.

    However, as we know, atopic dermatitis usually develops in the first several months after birth.(1) Parents might delay the introduction of fish when they saw their babies suffering from eczema. Thus, those infants with eczema might receive fish later in comparison with h...

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