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Correspondence
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Volume 340:1049 April 1, 1999 Number 13
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Case 27-1998: Eosinophilic Cystitis

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To the Editor: In Case 27-1998 (Aug. 27 issue),1 Atala offers an excellent discussion of eosinophilic cystitis. However, this case illustrates a problem many readers have with the Case Records: namely, that consideration is rarely given to the appropriateness of the diagnostic workup. Did this 10-year-old girl really need to go through four separate catheterizations, an attempt to obtain a voiding cystogram that was clearly futile (given that she had repeatedly demonstrated her inability to void), two sonographic examinations, computed tomography, and magnetic resonance imaging before getting cystoscopy? Given that the leading diagnostic considerations were neoplasm or an inflammatory process, . . . [Full Text of this Article]

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