Abstract
<h3>To the Editor.—</h3> The physicianly caution of Dr. Livingston et al (224:1634, 1973) is to be commended. The doubtful logic of their argument against anticonvulsant rickets and osteomalacia is affected by their caution, in that they state that these cases of rickets<i>may</i>have represented merely a coincidental occurrence. A cursory reader of this article would conclude that within the last 30 years no rickets occurred in patients receiving anticonvulsant therapy under their care. In fact, the report establishes only that no<i>clinically evident</i>rickets was discovered in these patients, and no biochemical evidence of rickets was demonstrated in only 28 patients receiving diphenylhydantoin or primidone treatment. These conclusions hardly contradict the large amount of available evidence that there is such a thing as anti-convulsant-induced bone disease. It would be pertinent to ask if suspicion of rickets arose in the minds of all the physicians who saw these patients over
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call