eLetters

164 e-Letters

  • How do we define Hodgkin disease?
    Kikkeri N Naresh

    Dear Editor

    It is a pleasure to read Professor Pileri’s recent article on Hodgkin disease (HD).

    Reflecting back, it took a long time and a lot of effort to identify the cell of origin of the RS cell, which in 98% of cases is a follicular center B-cell. It took a lot more time to recognize that in 2% of classical HD (cHD) cases the RS cells are actually of T-cell origin. Surprisingly, and rightly so (in...

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  • Unnecessary testing is a problem in DGHs too.
    Hilary J Longhurst

    Dear Editor,

    Re: Unnecessary repeat requesting of tests in a university teaching hospital immunology laboratory: an audit.

    Unnecessary testing is not only a problem for teaching hospitals. We were aware that the utility of many of the tests performed by our department was low and undertook an audit assess this. Our standard was that 90% of requests should be clinically appropriate. DNA antibodies shou...

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  • Haematology Laboratory Out of Hours Services
    Michael Galloway

    Dear Editor

    Janet Shirley and colleagues [1] have made a useful contribution to the costings of laboratory out of hours services. Their study is based on the findings from 22 laboratories. Some of their results have been confirmed in the latest annual report from the national Pathology Benchmarking Study [2]. In this study 93 haematology departments participated and 86 provided details of their out of hours service...

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  • Bread bag clips in the gastrointestinal tract
    Edward J Tweedie

    Editor,

    After encountering 5 cases in our institution over an 8 year span and reviewing the literature to find 15 more cases reported, we realized that bread bag clip ingestion is an uncommon but not an exceptionally rare event. We summarized these cases in a recent publication (1). Many of the patients were elderly and wore dentures, suggesting that decreased oral sensation may be a risk factor for ingestion. T...

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