Letters to the Editor

injection and local radiotherapy have been tried. Whether these measures would help the patients with thyroid acropachy are unclear.[1,5]

2.

Acknowledgment

3.

We owe thanks to the patient and her relatives for having patience and their contribution to this undertaking.

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Manish Gutch, Saran Sanjay, Syed Mohd Razi, Keshav Kumar Gupta

5.

Clinico‑pathological correlation. Indian J Endocrinol Metab 2012;16:460‑2. Fatourechi V, Ahmed DD, Schwartz KM. Thyroid acropachy: Report of 40 patients treated at a single institution in a 26‑year period. J Clin Endocrinol Metab 2002;87:5435‑41. Vanhoenacker FM, Pelckmans MC, De Beuckeleer LH,Colpaert CG, De Schepper AM. Thyroid acropachy: Correlation of imaging and pathology. Eur Radiol 2001;11:1058‑62. Fatourechi V. Thyroid dermopathy and acropachy. Expert Rev Dermatol 2011;6:75‑905. Rotman‑Pikielny P, Brucker‑Davis F, Turner ML, Sarlis NJ, Skarulis MC. Lack of effect of long‑term octreotide therapy in severe thyroid‑associated dermopathy. Thyroid 2003;13:465‑70.

Department of Endocrinology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India

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Corresponding Author: Dr. Manish Gutch, D‑15, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh ‑ 250 004, India. E‑mail: [email protected]

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References 1.

DOI: 10.4103/2230-8210.137507

Reddy SB, Gupta SK, Jain M. Dermopathy of Graves’ disease:

Interventional endocrinology: A futuristic Perspective Sir, I thoroughly enjoyed your article on Interventional endocrinology: A futuristic perspective. I am currently an internal medicine resident in Mexico, but my plan is to go into endocrinology in two more years. This specialty is amazing in my opinion, but has been labelled as a “passive” one by many. Few procedures, usually limited to thyroid biopsies (which nowadays are done more by interventional radiologists) are available (or so I thought!). I was very interested by,[1] where you list the currently available endocrine interventions. You clearly state that interventions can be either surgical or medical, but I would like to focus on the surgical ones. The pituitary cavernous sinus and internal jugular vein sampling are usually done by neurosurgeons, but I was wondering in India, how much of the other procedures are done by endocrinologists (or should be done by endocrinologists), specially the invasive ones. Maybe a new subspecialty should be born called interventional endocrinology!

Maybe we need to become more aggressive and more “hands on”; less theoretical and more practical. Thanks again for a wonderful article. Best regards from Mexico. Amado Jiménez Ruiz Department of Internal Medicine, Hospital Civil Fray Antonio Alcalde, Guadalajara, México Corresponding Author: Dr. Amado Jiménez Ruiz, PGY3, Department of Internal Medicine, Hospital Civil Fray Antonio Alcalde,Guadalajara, México. E‑mail: [email protected]

Reference 1.

Singla R, Singla S. Interventional endocrinology: A futuristic perspective. Indian J Endocrinol Metab 2014;18:422-4.

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Indian Journal of Endocrinology and Metabolism / Jul-Aug 2014 / Vol 18 | Issue 4

Website: www.ijem.in DOI: 10.4103/2230-8210.137509

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