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April 17, 1987

OK, OK, OK: The Facts of Kew—More on Squatter's Palsy-Reply

Author Affiliations

Gorham (NH) Medical Center

Gorham (NH) Medical Center

JAMA. 1987;257(15):2033. doi:10.1001/jama.1987.03390150049021

In Reply.—  I appreciate all of the many comments that my letter has fostered, including those of Dr Caccamise and others who have written me directly. I would like to stress that my postulated mechanism of injury was only a hypothesis, and other possibilities certainly exist. However, the peripheral neuropathy seen with Shigella infections is felt to be quite rare, and as the patient had a single isolated nerve lesion, I still feel that it more likely was due to compression neuropathy. As others have pointed out to me since the report was written, the exact mechanism of injury in common peroneal nerve palsy is still somewhat in question.1