brand logo

Am Fam Physician. 1999;60(8):2238

to the editor: I am concerned that readers might be confused by a last-minute editorial change made in Question 3 in the June 1999 “Clinical Quiz” (page 2974), pertaining to my article “Case Studies in International Medicine.”1 The question, “Which one of the following should be considered a clue to the presence of a Strongyloides infection?” is classified as having only one correct answer (choice A, “perianal or buttock urticaria”). However, I believe answer E, as changed by the editors, is also a correct choice.
I had originally listed option E as “improvement after treatment with pancreatic enzymes,” which would make this an incorrect answer; improvement with pancreatic enzyme administration can be expected if the patient has tropical pancreatitis, but generally not if the patient has strongyloidiasis. However, the answer for option E was changed by the editors to “weight loss.” Although it is true that weight loss is not one of the “classic” symptoms of strongyloidiasis (perianal/buttock urticaria, abdominal pain and diarrhea), weight loss may occur in patients heavily infected with Strongyloides. Therefore, even though the best choice remains A, “perianal or buttock urticaria,” option E is also correct.

Email letter submissions to afplet@aafp.org. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for publication in AFP must not be submitted to any other publication. Letters may be edited to meet style and space requirements.

This series is coordinated by Kenny Lin, MD, MPH, deputy editor.

Continue Reading


More in AFP

More in Pubmed

Copyright © 1999 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See https://www.aafp.org/about/this-site/permissions.html for copyright questions and/or permission requests.