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July 1978

Simple Febrile Seizures

Author Affiliations

Robert Wood Johnson Clinical Scholars Program University of North Carolina School of Medicine Chapel Hill, NC 27514

Am J Dis Child. 1978;132(7):723. doi:10.1001/archpedi.1978.02120320083022

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Sir.—I have a difficult time finding the "Letters to the Editor" section in the Journal every month; however, I do feel that the articles by Drs Pollack and Gellis (132:87-89, 1978) deserve a brief comment. From my perspective, Drs Pollack and Gellis gave inadequate emphasis to a very important consideration in the treatment of the child with one simple febrile convulsion. That is, how does the patient's family feel about this problem? In my experience, some families react with incapacitating terror and are very interested in doing anything possible to prevent another seizure. Other families seem to handle the situation quite well and are willing to gamble that their child will not be among the approximately 30% of cases where seizures recur, especially if treatment involves daily medication.

I believe that it is very important to draw the parents into the decision-making process to attempt to give them a

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