Contra-indications to measles and whooping cough vaccination: reality and mythology.
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There are still many myths, incorrect beliefs, in medicine; some pertaining to the field of blood grouping are discussed. Certain fallacious statements are dealt with in detail such as the dependence on the A-B-O blood group of the shape of the retracted clot; the patients with Dupuytren contracture all being type Rh1Rh2; the assumption of an association with the blood groups of a number of diseases and even of temperament; the belief in the existence of ant-M-lectin and of little d and thus of anti-d sera; and also of the alleged LW (Landsteiner--Wiener) factor. Finally, Race and Sanger's system of symbols is condemned and the advantages of the author's own nomenclature are pointed out.
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The use of the term 'hyperprolactinaemia' is critically examined. In addition to technical and statistical factors that affect the interpretation of prolactin levels, the concept of the 'normal range' is shown to be misleading. An alternative approach is proposed in which the clinical significance of different prolactin levels is carefully defined in different clinical situations thereby giving the clinician an indication of their predictive value. Only in this way can the individual patient be given appropriate advice and, if necessary, therapy.