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To the Editor.—
I would like to offer some alternate considerations in regard to the article "Facial Granuloma Associated With Fusarium Species" by Benjamin et al (Arch Derm101:598-600, 1970). Perhaps Fusarium was inoculated into a verruca of the left cheek during the multiple surgical efforts in November 1968. The thoracotomy in January 1967 revealed a granulomatous reaction where the possibilities included atypical mycobacterium infection, but did not necessarily bear a relationship to the left cheek lesion. Ioderma was given consideration because of an extended period of ingestion for therapy and a history of recurrent "pyodermas."Is the effect of long-term potassium iodide ingestion upon the granulocyte enzymes known?If I were this patient, I would weigh my chances and stay out of medical hands for the next year or two. Spectacular improvement might be gained by avoiding unnecessary medications. Multiple complications from iatrogenic causes would be impossible. While
Frankel EB. HAZARDS OF TREATMENT. Arch Dermatol. 1970;102(5):564. doi:10.1001/archderm.1970.04000110080022