Letters Pulmonary embolism

Importance of history in the diagnosis of pulmonary embolism

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1692 (Published 19 March 2013) Cite this as: BMJ 2013;346:f1692
  1. Felix I D Konotey-Ahulu, Kwegyir Aggrey distinguished professor of human genetics, University of Cape Coast, Ghana, consultant physician genetic counsellor in sickle cell and other haemoglobinopathies1
  1. 19 Harley Street Ltd, Phoenix Hospital Group, London W1G 9AL, UK
  1. felix{at}konotey-ahulu.com

Takach Lapner and Kearon’s clinical review omits an important cause of pulmonary embolism.1 Doctors should suspect sickle cell haemoglobin C disease whenever an African woman with normal haemoglobin concentration presents with unresolved pneumonia or severe breathlessness and should connect her illness with multiple pulmonary emboli.2 Hyperviscosity is …

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