Thank you for sending us your paper. We read it with interest but I regret to say that we have decided not to publish it in the BMJ. We would ordinarily send such a case for review, and consider for publication. However, as a strange coincidence, we have recently accepted a manuscript of a very similar case, which we are due to publish as a Minerva picture in the coming weeks, and so this would be too close a duplicate.
We receive over 8000 submissions a year and accept less than 10%. We do therefore have to make hard decisions on just how interesting an article will be to our general clinical readers, how much it adds, and how much practical value it will be.
Thank you for considering BMJ for the publication of your article. I am sorry to disappoint you on this occasion, and I hope the outcome of this specific submission will not discourage you from the submission of future manuscripts.
Robin Baddeley firstname.lastname@example.org
If you elected during submission to send your article on to another journal the article will be transferred in 5 working days. If you intend to appeal against this decision please notify us before then. The journal(s) (if any) you have selected at submission are: BMJ Open If you want to speed up or stop this onward transmission please email the editorial office: email@example.com