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To the Editor:—
Thank you for forwarding Dr. Ronchese's comments on my article on angioma. With reference to the first paragraph of his letter, the tendency to watch and wait for spontaneous involution of vascular nevi of the strawberry type is very prevalent in this location as well as other places in the United States. The era of waiting for spontaneous regression probably began after an article by Lister (Lancet1:1429 [June 25] 1938). Since that time it has been common practice to wait for spontaneous involution. One of the results is seen in a patient shown in Figure 7 in my article (JAMA174:875 [Oct. 15] 1960). This patient's angioma was not present at birth; a minor rash developed 2 weeks after birth and grew to this size in 3 months, with no involution in 2 1/2 years, with the tragic result presented. In all probability this
Kindel DJ. Management of Angioma-Reply. JAMA. 1961;175(8):727-728. doi:10.1001/jama.1961.03040080083026