Nutrition therapy for coeliac disease has centred around food allowed/not allowed on a gluten-free diet. Emphasis also should be placed on the nutritional quality of the gluten-free diet, particularly as it concerns the iron, calcium and fibre consumption of women. The use of the estimated food record as the dietary survey method may have resulted in the under-reporting of energy intake. Due to the small sample size and possible bias of survey participants, the findings of this survey may not be representative of the larger coeliac community.

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The discussion in Images in Clinical Medicine by Hylton and Goldberg (July 8 issue) 1 implies that the circumpapillary retinal ridge is pathognomonic for the shaken-baby syndrome. This belief was widely held among ophthalmologists, pediatricians, and forensic pathologists until it was recently challenged. 2,3 Two studies used a process associated with evidence-based medicine to evaluate the premise that the perimacular retinal fold is diagnostic of shaken-baby syndrome. Both studies found that such a presupposition was not supported by solid scientific evidence. Since a diagnosis of shaken-baby syndrome can lead to serious consequences , doctors should be cautious when using the circumpapillary retinal ridge as the sole criterion for this diagnosis.

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