RT Journal
A1 Altman RL, Brand DA
T1 APparent life-threatening events as an indicator of occult abuse—reply
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2004
FD April 1
VO 158
IS 4
SP 402
OP 402
DO 10.1001/archpedi.158.4.402-b
UL http://dx.doi.org/10.1001/archpedi.158.4.402-b
AB 
While we agree with the concept of updating the definition of ALTE, it is not clear how best to redefine the term. The suggestion of Dr Maffei and associates is one possibility, but their definition leaves open to interpretation what would constitute "obvious examination findings." For example, would the term ALTE apply to a 5-week-old infant after a sudden episode of apnea if the physical examination revealed upper airway congestion? Although congestion could cause apnea, we would suggest that abusive head injury still be considered.