eLetters

131 e-Letters

published between 2005 and 2008

  • The definition of disease duration in ankylosing spondylitis: comment on the article by Davis et al.
    Ernst Feldtkeller

    Dear Editor,

    Davis et al [1] emphasize the necessity of a uniform definition of the term "disease duration" for the case of ankylosing spondylitis (AS) because different definitions have been used in the past. Besides the duration since disease onset (time of first symptoms), the duration since the time of diagnosis of AS has also sometimes been named "disease duration" [2]. We very much support the initiative fo...

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  • Angiitis of the CNS and antiphospholipid antibody syndrome
    James W. Schmidley

    Dear Editor,

    Patient No. 2, described by Quintero, et al. in "Antiphospholipid antibody syndrome associated with primary angiitis of the central nervous system: report of two biopsy proven cases," [Ann Rheum Dis 2006; 65: 408- 409] had amyloid angiopathy and CNS angiitis. The association between these two entities has been repeatedly described, most recently and most carefully by Scolding, et al., in Brain 2005;...

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  • CERVICAL SPINE INVOLVEMENT IS RARE IN EARLY ARTHRITIS, BUT MAY EXIST WITHOUT SYMPTOMS AND CLINICAL S
    Markku J Kauppi

    Dear Editor,

    We read with interest the article by Dr van Eijk et al, in which they confirmed that cervical spine disorders are rare in early arthritis nowadays.[1] Their series consisted of 258 patients with a history of 2 or 5 years of chronic arthritis, and only seven cases with significant cervical spine involvement were found by 4 radiographs taken of each patient. It is easy to agree that there is no need for...

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  • Parental and propositus cardiovascular disease in individuals with rheumatoid arthritis
    Bruce M Rothschild

    Dear Editor,

    The article by Björnådal et al.[1] addresses an issue which has become increasingly recognized in the past decade.[2-4] They took a somewhat unique approach, examining cause of parental death. The authors[1] are to be congratulated for excluding individuals with alternative (to rheumatoid arthritis) discharge diagnoses, recognizing the 'lumping' character of the current ACR criteria[5] and partially ob...

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  • Ultrasonography as an alternative to CT in detection and follow up of Achilles tendon abnormalites
    Mahamoud M Gabal

    Dear editor, I read with interest this work but indeed from anatomical point of view the Achilles tendon has a paratendon with visceral and parieteal layers that completely enclosing it but there is no sheath so from a pathological point of view the term tenosynovities is unfortunately not correct as there is no synovium second from a radiological point of view the ultrasonography is safe, cheap, quick, dynamic examin...

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  • Minimal clinical important difference
    Ron L. Joyner

    Dear Editor,

    I am currently enrolled as a Physical Therapy doctorate student. I have an ongoing project that involves the MCID of Shoulder questionnaires. I found your study to be the best information yet in determining such data. I tried to ascertain the two tables W1 and w3 (interpretative data) so as to disect the MCID for the SPADI and DASH outcome tools. The Journal supplemental's web site did not allow that...

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  • Alterations of cardiac macro- and microvasculature and impaired coronary flow reserve in scleroderma
    Andás Komócsi

    Dear Editor,

    we read with interest the article by Vacca et al. (1) reporting on the absence of coronary stenosis in patients with severe impairment of coronary vaso...

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  • Why search for indirect signs?
    Mahamoud M Gabal

    Dear Editor,

    I read with intrest this work and indeed I ask authors why do we search for indirect signs when the direct one is well seen by this ultrasonographic modality? Many new imaging machians introduced in this field and I notice that we try to find what the old machians dose. The plain X ray show bone errosion late and when the authors use the US modality the try to see what the plain X ray shows and in my...

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  • Corticosteroid side effects
    Anthony S Russell

    Dear Editor,

    The excellent review by da Silva and colleagues (1) comprehensively covers the range of glucocorticoid side effects and points out that more research in this area is sorely needed. One area they don�t review and which we have previously suggested should be considered as an adverse effect (2) is that the use of steroids by both primary doctors and rheumatologists so frequently preempts the use of...

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  • Myoglobin is not a marker of accellerated muscle protein breakdown
    Samuele M Marcora

    Dear Editor,

    RA is a systemic disease and Sarzi-Puttini and colleagues have to be praised for investigating the effects of anti-TNF therapy on the circulating IGF system rather than the usual measures of disease activity, joint damage and disability. However, their conclusions are based on false assumption that serum myoglobin is a marker of the muscle catabolism characteristic of rheumatoid cachexia.

    In m...

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