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Letters to the Editor Additional Letters to the Editor Available Online (www.aafp.org/afp/20020615/lettersonline.html):
ADHD: Management Beyond Medication Eugene Heyman, M.D.
ADHD and IQ Testing Don J. Woodhouse, M.D.
TO THE EDITOR: We would like to thank Drs. Fuloria and Kreiter for their review of the newborn examination in American Family Physician.1 The article was thorough and provided a problem-based approach to the newborn examination. However, we have concerns regarding the last statement of the article: "Dimples should never be probed and should be evaluated with magnetic resonance imaging before neurosurgical intervention." This recommendation could be misinterpreted as stating that all sacral dimples require magnetic resonance imaging (MRI) and neurosurgical consultation.
In the reference cited in this sentence, Drolet states: "Most infants with sacral dimples that fall within the gluteal crease are healthy."2 Drolet suggests that only high-risk dimples...