The Editor,

Sir,

Thyroid cancers (TC) are malignant neoplasms originating from follicular or parafollicular thyroid cells, with five-year relative survival of approximately 85% in Europe. Current incidence of TC is 14.3 per 100 000 individuals in the United States of America [USA]. 

The Editor,

Sir,

Keratosis follicularis spinulosa decalvans (KFSD) is a rare X-linked disorder characterized by diffuse follicular hyperkeratosis, progressive scarring alopecia of scalp, eyebrows, and eyelashes and may be accompanied by photophobia, corneal and conjunctival inflammation and dystrophy, tooth abnormalities, ichthyosiform xerosis, facial erythema, atopic dermatitis, hair disorders and nail dystrophies.

The Editor,

Sir,

Excessive haemorrhage in orthopaedic surgery can be due to multiple causes. One of the rarer causes is the chronic effect of certain drugs. Ascertaining preoperative history and stoppage of use of platelet inhibitors, thrombolytics or anticoagulants is imperative. Occurrence of excessive bleeding, despite the application of a tourniquet, can be mystifying.

The Editor,

Sir,

On September 9, 2009, fire swept through a hospital on the Caribbean island of St Lucia, killing three patients. A definite plan to deal with major emergencies is an important element of any health institution.

The Editor,

Sir,

The patient was a 51-year old lady para ²⁺⁰ who had a long history of diabetes and hypertension from 1993 at age 33 years. She underwent myomectomy for menorrhagia in 2000. By 2010, the fibroids had regrown to 18 weeks size.