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PPCM and the endocrine system
  1. Lucia Baris1,2,
  2. Jérôme Cornette3,
  3. Mark R Johnson4,
  4. Karen Sliwa5,
  5. Jolien W Roos-Hesselink1
  1. 1 Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
  2. 2 Department of Obstetric Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
  3. 3 Department of Obstetrics and Gynaecology, Erasmus Medical Center, Rotterdam, The Netherlands
  4. 4 Chelsea and Westminster Hospital, Imperial College London, London, UK
  5. 5 Department of Medicine, Hatter Institute, Cape Town, South Africa
  1. Correspondence to Dr Jolien W Roos-Hesselink, Cardiology, Erasmus Medical Center, Rotterdam 3015 CE, The Netherlands; j.roos{at}

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We sincerely thank Dr Jolobe for the response to our paper1 and very much appreciate the interesting addition2 to the discussion on this difficult topic. It is true that autoimmunity has been proposed to play a role in the aetiology of Peripartum Cardiomyopathy (PPCM), as we mention in our introduction. Furthermore, it is indeed well known that congestive heart failure due to (dilated) cardiomyopathy can occur …

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  • Contributors LB wrote the letter and JC/KS-H/MJ and JWR-H approved the letter. All authors approved the final version.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Patient consent for publication Not required.

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