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Correspondence
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Volume 344:611 February 22, 2001 Number 8
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Idiopathic Clubbing

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To the Editor: With respect to the Image in Clinical Medicine entitled "Idiopathic Clubbing" (Oct. 26 issue),1 it seems difficult to justify the use of right heart catheterization, a technique with a recognized risk of complications and even of death,2 in the investigation of an asymptomatic clinical finding that had been unchanged for the better part of four decades. It may be that the clinicians did have a good reason to proceed with this investigation, but if so, it was not stated.


Philip Baragwanath, M.D.
Leicester General Hospital
Leicester LE5 4PW, United Kingdom

References

  1. Reynen K, Daniel WG. Idiopathic clubbing. N Engl J Med 2000;343:1235-1235. [Free Full Text]
  2. Boyd KD, Thomas SJ, Gold J, Boyd AD. A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients. Chest 1983;84:245-249. [Free Full Text]
 
Dr. Reynen and a colleague reply:

To . . . [Full Text of this Article]

References



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