eLetters

534 e-Letters

published between 2003 and 2006

  • Category D: unknown whether ill treatment is cause
    Edmund A S (Tony) Nelson

    Dear Editor

    I would like to congratulate Southall and colleagues for their very important paper, which represents extremely well the clinical and practical reality of the spectrum of child abuse. However I have one fundamental concern relating to unexplained subdural haematomas. The authors state that "sometimes the parent is ignorant about the extent of damage that the impulsive act may cause. For example, in some...

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  • Hypothermia and ibuprofen
    Shital Atul Malik

    Dear Editor

    The letter by Dr PR Desai and S Sriskandan [1] helped in the management of a second 19 month old child with probable ibuprofen induced hypothermia. She was admitted with coryzal symptoms and lethargy. Examination was unremarkable apart from her aural temperature which was 35.8 degrees on admission and fell to a minimum of 34 degrees 5 hours after admission.She was well perfused and had sinus bradycardia...

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  • Sudden infant death syndrome: bed sharing with mothers who smoke
    Christopher J Bacon

    Dear Editor

    James and colleagues,[1] in reporting on SIDS in the Wirral, twice state that national advice does not warn of the risks of bed-sharing by mothers who smoke. This is not true. Following the findings of the CESDI SUDI study,[2] for over six years the leaflet "Reduce the risk of cot death", published jointly by the Department of Health and the Foundation for the Study of Infant Deaths (FSID) and handed ou...

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  • Echocardiograms in the management of PDA in preterm neonates
    Jideofor O Menakaya

    Dear Editor

    We agree with the conclusion of Urquhart et al. in their review questioning the accuracy of clinical signs in the diagnosis and management of PDA in preterm neonates.[1] A patent duct may have significant haemodynamic consequences - not obvious clinically - that is apparent within the first 24 hours.[2] Early treatment with indomethacin may be advantageous.[3] We recently carried out an audit...

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  • Re: Bedsharing, Maternal Smoking, and SIDS
    Christopher S James

    Dear Editor

    I thank Professor McKenna for his letter dated 6th February and agree that the word "and" would have been appropriate in the conclusion of the above paper.

    It was the authors intent to highlight the combination of bed sharing and maternal smoking as a risk factor for Sudden Infant Death Syndrome, rather than them being independent risk factors.

    We hope that this important message wi...

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  • Follow up of Kawasaki Disease
    Nick Archer

    Dear Editor

    Brogan and colleagues advocate yearly follow up forever after Kawasaki Disease in an article claiming an evidence base.[1] They give one of the reasons being to measure blood pressure. Neither the need to follow up nor the occurrence of long term hypertension after KD are specifically referenced. Surely the points made by Murugan and others in response to this recommendation are completely right and it i...

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  • Hazards in relying on court findings
    Brian Morgan

    Dear Editor

    Professor Sir Roy Meadow's response recommends that court findings of guilt should be used to modify previously held coroner's or scientific findings relating to infant deaths.

    It is ironic that his response was published on the first day of the Sally Clark appeal, the same day that her QC's skeleton argument was published on the internet.

    (...

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  • Not necessarily perinatal transmission
    Deniz Gurtin

    Dear Editor

    You state in your article that "perinatal transmission was the most obvious source of HCV" in this 11 year old boy. Elsewhere in the article you put an argument that the mother was very unlikely to have received HCV infected blood transfusion during pregnancy. She had admitted to iv drug abuse which is implied as the probable cause of her HCV status, but there is no way of knowing whether this happened...

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  • Adrenal axis suppression in children with long term inhaled corticosteroids treatment
    Almudena Del Pino De La Fuente

    Dear Editor

    With reference to the recent article of Todd et al.[1] about adrenal crisis associated with inhaled corticosteroids, we report two cases of adrenal axis suppression in children with this treatment.

    The first one[2] is a 18 months boy, who had been diagnosed of bronchial hyperresponsiveness, and was in treatment with high dose of inhaled fluticasone (FP) (1000 mcg/day) since he was 9 mo...

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  • Response to Dr Wheeler
    Sheila A Mckenzie

    Dear Editor

    Much effort goes into educating our difficult asthmatics. Our clinical nurse specialist visits every home and is in touch with every school. The five children who are given inhaled corticosteroids by their teachers come from very difficult backgrounds where education has not resulted in treatment adherence. The children were frequently absent from school and had frequent hospital attendances with wheezi...

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