Editor's Note: I believe it is appropriate for readers and authors to consider the following comments by Dr Har-El. The issue of what role the case report plays in peer-reviewed medical journalism is quite appropriate. We in the Journal's editorial process have elected to be very selective regarding which submitted case reports are published. Realizing the importance of such publications to young physician authors, we must temper this mission with that of quality and focused scientific literature. Thus we require a strict adherence to our published rules for a case report—short, concise, and to the point, but mainly that it provide a clear educational value to the clinician.
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