KEITH S. HENLEY, M.D.; HENRY D. APPELMAN, M.D.
To the editor: We appreciate the contribution by Berk and associates (1) because it concerns misunderstandings our editorial (2) seems to have generated. We stated that ". . . treatment with steroids is mandatory for all clinically and histopathologically significant forms of chronic hepatitis." The issue is what constitutes "clinically significant." Our copy of the Concise Oxford Dictionary (1926 edition) defines "clinically" as "on, at the sick bed." In other words, we were referring to the management of patients who were in bed, or at least unable to work. This categorically excluded the asymptomatic or mildly symptomatic patient, whatever the
KEITH S. HENLEY, HENRY D. APPELMAN. Chronic Hepatitis. Ann Intern Med. 1977;86:109. doi: 10.7326/0003-4819-86-1-109_1
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Published: Ann Intern Med. 1977;86(1):109.
Gastroenterology/Hepatology, Liver Disease.
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