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To the Editor.—
We are in full agreement with Dr. Burns that the therapeutic result which was achieved by surgery could very well have reflected alteration in the local environment.We also agree that the overgrowth of bacteria and fungi in the areas of predilection is likely to be of considerable importance in the pathogenesis of clinical lesions of familial benign chronic pemphigus.
Shelley WB. FAMILIAL BENIGN PEMPHIGUS-Reply. Arch Dermatol. 1970;101(4):487. doi:10.1001/archderm.1970.04000040108028