Letter to the Editor Regarding Patient-Reported Physical and Psychosocial Significance of Abdominal Scarring in Anorectal Malformations

Author(s):  
Rebecca M. Rentea ◽  
Christina Low Kapalu
PEDIATRICS ◽  
1969 ◽  
Vol 43 (5) ◽  
pp. 905-906
Author(s):  
Aubrey Milunsky

The patient reported in the foregoing letter is of particular interest in view of the recent observations on patients with tnisomy 21 and cystic fibrosis. The multiple possibilities that could explain the clinical presentation have no doubt been considered by the authors. However, the description of "hypoplastic thrombocytopenia" and later pancytopenia in this patient, associated with pancreatic insufficiency, leads to the serious consideration of Shwachman's syndrome (pancreatic insufficiency and bone marrow dysfunction). The wide discrepancy between the sodium and chloride concentrations in the sweat reported in their letter indicates that evaporation of water may have occurred from the sweat sample, leading to an apparently higher sodium and chloride concentration.


2017 ◽  
Vol 32 (7) ◽  
pp. 2316
Author(s):  
Neil J. Artz ◽  
Mo A. Hassaballa ◽  
James R. Robinson ◽  
John H. Newman ◽  
Andrew J. Porteous ◽  
...  

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