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BMJ 2006;332:1095 (6 May), doi:10.1136/bmj.332.7549.1095-a
| The first 150 words of the full text of this article appear below. |
EDITORThe article by Esquivel et al is misleading in some respects.1 Their findings result from internet correspondence between individuals about a common condition that is given a lot of webspace and media attention.
My own (anecdotal) experience shows that a vast amount of ignorance remains when rarer conditions are considered. Between 2001 and 2003 I attempted to recruit women with hypoadrenalism for a study looking into adrenal hormone replacement. As this condition is very rare, I resorted to advertising for subjects on two websites, those of self help groups for hypoadrenalism (after this had been approved by the ethics committee).
I managed to recruit sufficient numbers for the study but kept myself enrolled to check on progress among my volunteers until mid-2005. I was surprised to see the depth of inaccuracy and distinct lack of knowledge among the people who posted on the sites. I refused to be
Ketan K Dhatariya, consultant endocrinologist
Norfolk and Norwich University Hospital NHS Trust, Norwich, Norfolk, NR4 7UY ketan.dhatariya@nnuh.nhs.uk