197 e-Letters

published between 2009 and 2012

  • Abidec contains peanut oil - but so what?
    Benjamin Jacobs

    Indeed Peanut Oil is not a well known ingredient of Abidec drops, but on what basis can the authors say this is "clinically vital information"? Have there been any reports of allergy to Abidec drops?

    Abidec drops are regularly given to British babies. The introduction of a small amount of peanut oil at that age may induce tolerance and result in LESS allergy.

    Abidec has other advantages over "nut-free"...

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  • Please correct me if I am wrong ...
    Stephen P Williams

    I'm a busy paediatrician and commonly commit the sin of reading an article's conclusions and ignoring the data presented. In that context I was amazed to see the dissonance between the conclusions of both the editorial and the paper "Systemic review of studies comparing combined treatment with paracetamol and ibuprofen, with either drug alone" with the actual data presented. The conclusions of both seem to have been clear...

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  • A study gone too far?
    Steven C. Gabaeff, MD, FAAEM, FACEP

    Dear Authors,

    Thank you for shedding light on the issue of cough and the improbability of cough in the context of pertussis as seemingly unlikely to produce RH. That aspect of your study is quite convincing.

    While your prospective study provides valid information, it does not qualify as a jumping off point to conclude that maltreatment is involved in 75% of RH that are seen. You have relied on a retros...

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  • An unusual case of tetraparesis, anterior spinal artery syndrome
    Christian G.E.L. De Goede

    Dear Sir,

    It was with great interest that I read the case report of an unusual case of tetraparesis.[1] The authors present a case of transverse myelopathy, and I agree that it is most likely that this was caused by a vascular insult rather than inflammatory transverse myelitis, and the presentation would be in keeping with 'Anterior spinal artery syndrome'. This typically presents with a combination of flaccid...

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  • Neonatal scalp lesion is not necessarily due to trauma
    Celia Moss

    I was surprised that the report of "keloid scarring secondary to foetal blood sampling"[1] omitted any differential diagnosis. This 2 cm hairless tumour "present and unchanged since birth" cannot easily be attributed to trauma. The location at the crown is in fact highly characteristic of aplasia cutis congenita (type 1, Frieden classification[2]), the morphology with complete alopecia and "lumpiness" is typical, and th...

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  • Management of fever in febrile seizures among health care workers: the more skilled, the more reassuring
    Gianluca Tornese

    Dear Editor,

    the proper management of fever in children (1) is jeopardized by the exaggerated fear of fever (the so called "fever phobia") not only among parents but also among health professionals, leading to misalignment between evidence and practice (2). While it could be comprehensible a limited understanding of fever by parents, it is not acceptable that professionals could still believe that fever is dan...

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  • Epidemiological surveillance of rare diseases.
    Alan M Emond

    Sir, We welcome the recent elucidation of the significance of rare diseases in children provided by the Archives of Disease in Childhood (Arch Dis Child 2011;96:791-792), and the increased recognition they are receiving by the European Union, and in England by the Chief Medical Officer (CMO report 2009). A key component of increasing recognition will be the provision of epidemiological surveillance of rare diseases....

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  • Caution in extrapolating the FEAST Trial findings to surgical hypovolaemic shock.
    Kokila Lakhoo

    Dear Editor,

    We read the findings of the Feast Trial Group with interest and agree with many comments that the results appear counter-intuitive. Given our experience of managing children with hypovolaemic shock secondary to a surgical cause, in Africa and beyond, we feel that it is necessary to state that the findings of The FEAST trial should not be extrapolated to hypovolaemic shock secondary to a surgical cau...

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    Dimitrios Doganis

    We read with interest the publication by Ladomenou et al entitled "Protective effect of exclusive breastfeeding against infections during infancy" (1). The authors conclude that exclusive breastfeeding protects infants against common infections and lessens the frequency and severity of infectious episodes. This study, however, failed to reach a conclusion about the potential protective role of breastfeeding on the sever...

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  • Enabling Paediatricians to contribute to improved outcomes in maltreated children?
    Dr Michelle D Zalkin

    We welcome Dr Rees' October review as it highlights the need for a radical re-think in safeguarding training if the paediatrician is to start to contribute to the protection of children in the way she suggests. Most maltreated children are seen by paediatric trainees and traditional training has not equipped them or their seniors to view their role in the way suggested. As well as recognition and response, training should...

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