T. KIRKLAND GARNER, M.D.; G. MICHAEL DUFFELL, M.D.
To the editor: Takatoshi and colleagues (1) recently described the cases of two patients with systemic lupus erythematosus whose interstitial lung disease was characterized by granular deposits in the alveolar walls. Ausculatory findings included "fine rales (velcro rales)" and "slight, moist rales."
We maintain that the words "fine," "velcro," "slight," and especially "moist" are superfluous and should have been deleted at some point in the editing process. This use of inexact terminology unfortunately is widespread, despite historical analysis, experimental evidence, and clear-cut guidelines set by the American College of Chest Physicians (2).
The word "râle," French for "rattle," was chosen
GARNER TK, DUFFELL GM. Terms for Lung Sounds. Ann Intern Med. ;91:928. doi: 10.7326/0003-4819-91-6-928_1
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Published: Ann Intern Med. 1979;91(6):928.
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