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June 24, 1961

Thesaurosis Caused by Hair Spray-Reply

Author Affiliations

The Jewish Hospital of St. Louis, St. Louis 10.

JAMA. 1961;176(12):1055-1056. doi:10.1001/jama.1961.03040250081033

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To the Editor:—  Thank you for giving me the opportunity of commenting on Dr. Brunner's letter. On the basis of our studies we are satisfied that the editorial in The Journal was correct and that there is such an entity as thesaurosis or storage disease due to inhalation of hair spray. In regard to the specific points raised in the letter, we would like to answer as follows:

  1. The resemblance of the lymph node lesions to sarcoidosis is indeed striking and has been confirmed by us in other cases. In the lung the histologic picture as found in as yet unpublished cases resembles that seen in so-called Hamman-Rich syndrome. The differentiating histologic feature in both areas is the presence of ingested PAS-positive material in macrophages. As a dermatologist, Dr. Brunner may perhaps be unaware of current concepts of etiology of both these syndromes. It is generally held that they

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