TY  - JOUR
T1  - APparent life-threatening events as an indicator of occult abuse—reply
AU  - Altman RL, Brand DA
Y1  - 2004/04/01
N1  - 10.1001/archpedi.158.4.402-b
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 402
EP  - 402
VL  - 158
IS  - 4
N2  - 
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.

SN  - 1072-4710
M3  - doi: 10.1001/archpedi.158.4.402-b
UR  - http://dx.doi.org/10.1001/archpedi.158.4.402-b
ER  -