Goodpasture's syndrome

exceptionally may have been three weeks. We observed that GGT values fell in 11 of 22 children with EHBA and rose in 12 of 22 with IHD. We expressed the degree of change in a fractional manner which we agree may be misleading. Nevertheless, while those with IHD may have fallen within the limits defined by Lau and Fung, 11 of 22 with EHBA would not have been considered for laparotomy. On the basis of our experience as reported in our paper, Drs Lau and Fung's assertion that repeated measurements of GGT could serve as a prelaparotomy, non-invasive screening test is an enticement to malpractice.