Dysphagia as a complication of oral anticoagulation therapy.

Communications to the Editor phoisphorylation. Additionally, the serum lactate level was measured in one oaf otsr cases early in the hospital course, and it was found to be normal. We believe that if uncoupling of oxidative phosphorylation were primarily responsible for shock and multiple-system organ failure, the serum lactate level should have been markedly elevated. Dr Schmidt correctly points out that the elevations in tumor necrossis factor and interleukin-6 noted in our patients may be epiphenomena. Althaugh cytokines could have contributed to our