eLetters

517 e-Letters

published between 2004 and 2007

  • Herbal skin creams for atopic eczema
    Peter M Lapsley

    Dear Editor

    Ramsay et al. are right to draw attention to the fact that many 'herbal creams' for atopic eczema contain potent or very potent topical steroids. Their research echoes that done by Keane et al. [1] which showed that of 11 Chinese herbal treatments obtained from patients attending dermatology outpatient clinics at King's College Hospital, eight contained dexamethasone at a mean concentrati...

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  • High dose ibuprofen in cystic fibrosis: Beware of liver disease
    Mordi R Muorah

    Dear Editor

    We read with interest the study on the use of high dose ibuprofen in cystic fibrosis (CF) by Arranz et al.[1] Whilst we appreciate the possible beneficial effects of high dose ibuprofen on lung function, we are concerned that its non-critical use could be associated with some risks, despite monitoring of drug levels.

    The authors quote an earlier report showing that ibuprofen can be u...

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  • Cardiac mortality in paediatric epilepsy
    Paul A. J. Heaton

    Dear Editor

    Sudden unexpected death due to epilepsy (SUDEP)is a concept that suggests the cause of death relates to an epileptic disorder. This paper makes no mention of the fact that some cases of "SUDEP" may result when a long QT syndrome (LQTS) has been misdiagnosed as epilepsy. How many the studies of epilepsy mortality looked specifically at cardiac causes of "epilepsy deaths", beyond considering those who a...

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  • Sweat chloride values in newborns positive to neonatal screening for cystic fibrosis
    Giovanni Taccetti

    In the guideline review the author underlines the importance of an accurate analysis of sweat electrolytes in newborns who had undergone CF neonatal screening.(1)

    As there is limited experience with sweat tests in the first weeks of life we wish to report our experience in Tuscany regarding quantitative measurement of sweat electrolytes in newborns posi...

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  • This may be due to increased testosterone.
    James M. Howard

    Dear Editor

    Regarding the article by Wing et al.[1] It is my hypothesis that the percentage of individuals of higher testosterone is increasing worldwide, more in some places than others. I suggest this is the cause of the "secular trend." Among a number of characteristics that may result from this increase in numbers of individuals of higher testosterone, I suggest increasing obesity is one. An obesity epidemi...

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  • SIDS rates and risk campaigns
    Roger W. Byard

    Dear Editor

    We were interested in the paper by Goldwater calling for a critical review of approaches to research in sudden infant death syndrome (SIDS).[1]

    We would agree that SIDS research needs to be continually re-assessed due both to difficulties in establishing this ‘diagnosis’, and to problems associated with understanding aetiological mechanisms. However, the suggestion that the fall in SIDS rates has...

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  • Atypical presentations of Kawasaki disease
    Vincent Sahayaraj

    Dear Editor

    The report of 2 cases of Kawasaki disease (KD) presenting with lobar pneumonia[1] is interesting.

    We have recently seen a six year old boy presenting similarly. The main feature in our case was that the child’s degree of illness was in excess of that one would expect with bilateral patchy changes on the chest Xray. Other concerns were an ESR of 80mm in the first hour, a platelet count of 495...

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