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The Pemberton and Maroni Signs
- Catherine Quiddam Norcross, RN;
- William A. Norcross, MD; and
- Theodore G. Ganiats, MD
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
TO THE EDITOR:
In their article on the Pemberton sign, Wallace and Siminoski [1] provide two photographs to illustrate the phenomenon of facial suffusion after elevation of the arms in a patient with a large substernal goiter. In comparing the two photographs (showing the patient before and after the arms were elevated), we are puzzled. First, in the “before” photograph, the chest is tanned, but in the “after” photograph, it is almost white. Second, the background, indeed the entire image, is darker than in the “after” photograph. Third, and most vexing, is that in the “after” photograph, the line of demarcation of the facial and neck suffusion at the base of the neck is perfectly curvilinear. We would be interested to hear the authors' explanation of these perplexing observations.
William A. Norcross, MD
Theodore G. Ganiats, MD
University of California, San Diego, Medical Center; San Diego, CA 92103
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
- Copyright ©2004 by the American College of Physicians
