David K. Gittelman, DO
To the Editor: Dr. A.M. Clarfield has provided a thorough review and critique of the literature on causes of dementia (1). However, I do not believe the conclusions reached are necessarily supported by the evidence presented.
Dr. Clarfield convincingly arrives at figures of 3% of dementias completely reversed and 8% partially reversed, by proper evaluation and treatment. Dr. Clarfield asserts that 11 % of dementias reversing is a lesser but truer figure than usually quoted in the literature. However, the author also argues that we should then be more conservative in our diagnostic evaluations of dementia.
My real concern with
Gittelman DK. Diagnostic Assessment of Dementia. Ann Intern Med. ;110:669–670. doi: 10.7326/0003-4819-110-8-669_2
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Published: Ann Intern Med. 1989;110(8):669-670.
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