Some time ago, we declared a policy that eliminated the "Clinical Memoranda" section of AJDC and stated that the so-called case reports (I prefer "patient" to "case, "every time!) would now be considered singly as original articles, or sent back after brief review, if they simply added the nth instance of a given condition.
That policy has worked well for the journal and readers by eliminating a large number of observations that had no intrinsic merit or were otherwise flawed and by preserving those instances of an astute clinical observation that could further our understanding or had the potential for stimulating investigation or observation. In this issue, we are publishing an editorial commentary by Fred Hecht in which this noted geneticist explains why he reacted to a single patient report in the way that he did. We have not encountered such a succinct expression of the value of a useful
HECHT F. Updating a Diagnosis: The EEC/EECUT Syndrome. Am J Dis Child. 1985;139(12):1185. doi:10.1001/archpedi.1985.02140140019014
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