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October 27, 1945


JAMA. 1945;129(9):647. doi:10.1001/jama.1945.02860430063020

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To the Editor:—  In reply to Dr. K. P. A. Taylor's criticism (The Journal, July 7, p. 750) of an article by me on dermatophytosis and onychomycosis (The Journal, May 12, p. 77), the paper dealt primarily with the cutaneous manifestations of the fungi causing dermatophytosis and onychomycosis rather than with methods of treatment. Only the most important and proved methods of treatment were noted.Permanent ablation of fungous infected toe nails outlined by Dr. Taylor is a radical measure. The absence of finger nails would subject the patient to lifelong embarrassment. Elimination of the fungi in the nails would not necessarily cure the infection. When toe nails are infected, especially with Tricophyton purpureum, there is usually a concurrent infection of the toes and soles. The refugees that he mentioned as being unable to enter the country because of chronic onchomycosis of the T. purpureum type were probably still harboring

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