Letters that report new clinical or laboratory observations, cases of unusual importance, and new developments in medical care will be considered for publication in this section. Manuscripts must be typed double-spaced. Text length must not exceed 750 words; no more than five references and one figure or table can be used. See 'In-formation for Authors " on page 1-6 for form of refer-ences. Manuscripts should include an abstract of length not exceeding 100 words. Letters will be reviewed by con-sultants when, in the opinion of the editors, such review is needed. The Editor reserves the right to shorten letters and to make changes that accord with our style