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August 2, 1965


Author Affiliations

Vicksburg, Miss

JAMA. 1965;193(5):404. doi:10.1001/jama.1965.03090050080038

To the Editor:—  In the Jan 11 issue of The Journal (191:129) appeared an interesting discussion under Cutaneous Medicine entitled "The Myth of Otomycosis." The author stated "Otomycosis is a misleading designation for a collection of skin diseases of the external ear which include psoriasis, contact dermatitis, seborrheic dermatitis, and infectious eczematoid dermatitis," and further stated that saphrophytic fungal infections of the external ear canal do not provoke an inflammatory response, implying that such infections are of no importance.There has been a great deal of confusion and misunderstanding on the subject of fungal infections of the external ear canal, when it is really quite simple.It is obvious that pathogenic fungi that attack skin could attack the skin of the ear. Conant,1 considers Candida albicans, often found in external ear canals,2 pathogenic. Conant,2 and the Gills2 both consider Actinomyces bovis pathogenic, the latter stating "... the

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