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C. RANDALL DUPEE, MD
Department of Pediatrics Kaiser Los Angeles Medical Center 4867 Sunset Blvd Los Angeles, CA 90027

Am J Dis Child. 1991;145(7):718.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—In his October 1990 editorial in AJDC, Corrigan¹ recommends that the "H" in the syndrome of hemorrhagic shock and encephalopathy (HSE) stand for hyperpyrexia. This is a welcome suggestion to the clinician because it underscores hyperpyrexia as an important clue to the diagnosis of this new syndrome. In February 1985, we were at a loss to explain a difficult patient who showed clinical symptoms of heatstroke. The original description of HSE by Levin et al² in 1983 did not view hyperpyrexia as a prominent feature of this disorder. Only two of the 10 patients described had temperatures of 41°C or greater. It was not until a subsequent report³ emphasized hyperpyrexia that we were alerted to the similarity between our case and those being described in the literature.

Patient Report.—A 3-year-old black girl was well until 11 pm on the evening of admission, when she vomited . . . [Full Text PDF of this Article]

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