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An anatomist once said that the number of layers in the abdominal fascia depended on the skill of the dissector, but he never explained what advantage accrued from this multiplication of strata. Doubtless, it ministered to the vanity of the clever operator. There is a similar situation in dermatology. Many men seem to delight in subdividing every syndrome according to half a dozen different criteria, and then insist on giving a separate name to each group—to the confusion of the unwary and the grief of the judicious. There are at least thirtyeight different kinds of acne by actual count, and the worst of it is that many of these are not acne at all, as for instance acne artificialis, which is caused by bromine or iodine, or something else. The word lupus is applied to two diseases, one of which is tuberculous, the other probably not, and to the latter
THE CURSE OF MANY NAMES. Arch Derm Syphilol. 1926;13(4):538. doi:10.1001/archderm.1926.02370160075007