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To the Editor.—
In reply to Dr. Fisher's letter, my only defense is that although my statement was not completely accurate, the point I was trying to convey is both correct and pertinent.I was aware that Dr. Fisher's textbook mentioned that patients sensitized to mercury occasionally show eczematous reactions when mercury amalgam fillings are used. I was also aware of the increasingly numerous reports of eczematous dermatitis from nickel or chrome or both in metal dental appliances, from gold in dental crowns and gold ball orbital implants, and from nickel in orthopedic metal implants. To the best of my knowledge, these reports are not to be found in any textbooks, including Dr. Fisher's.
Barranco VP. Eczematous Dermatitis-Reply. Arch Dermatol. 1973;107(3):463. doi:10.1001/archderm.1973.01620180101035