In reply Hoogenraad's comments regarding our letter to the editor1 strike us as somewhat inappropriate, missing the point in several aspects. We shall try to address these concisely.First, the passage "worsening of neurologic signs after the start of zinc therapy has never been described" is a verbatim quotation from Hoogenraad and Van Hattum.2 Nowhere does the word "paradoxical" appear. If they had meant it that way, they should have said so. We did not claim that we observed "paradoxical" worsening as defined by Hoogenraad.Second, it is not true that a worsening of Wilson's disease (WD) after the institution of oral zinc therapy had not been reported before. From his and Van Hattum's former correspondence,3 Hoogenraad knows well that Wiedmann,4,5 and Strohmeyer and Stremmel,4 saw distinct deterioration. Pfeiffer and Camo6 observed the same effect in some patients. Brewer et al,7 Scheinberg and
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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