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June 10, 1974

From the Editor's Desk

JAMA. 1974;228(11):1372. doi:10.1001/jama.1974.03230360020014

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George Solan, MD, of Borthfield, Ohio, observes that phenylephrine hydrochloride is the drug of choice for treatment of anaphylaxis in a patient taking phenothiazine, where epinephrine might cause a further paradoxical lowering of the blood pressure.

The restless legs syndrome is often due to unrecognized food or chemical allergy, says Granville Knight, MD, of Santa Monica, Calif. In his personal case, chocolate was the offender, and he has uncovered perhaps two dozen additional similar cases due to different foods.

Harry Zimmerman, MD, of Bronx, NY, asks how often a breast is removed unnecessarily because of the inaccurate, hurried readout of a frozen section made from a specimen taken during surgery. He has had this experience recently, and recalls the opposite example of two years ago when a "normal" frozen section was later proven abnormal in a fixed tissue specimen read 24 hours later.

The Journal's Letters section routinely declines