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February 1974

Pigmented Basal Cell Carcinomas

Arch Dermatol. 1974;109(2):261. doi:10.1001/archderm.1974.01630020069020

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To the Editor.—  I read with great interest the comment of Dr. J. L. Walter in the Archives (108:277, 1973) that Dr. C. DeFeo's remark in the Archives (105:447,1972), concerning the incidence of pigmented basal cell carcinomas in blue-eyed persons, was inconsistent with his experience in Sydney. I am in the enviable position of being able to agree with both physicians, who seemingly disagree with each other, since I have studied the problem rather intensively and have written about it in the Archives (107:206, 1973). It is true that lightly pigmented, mottled, or speckled basal cell carcinomas are not rare in blue-eyed people; however, at least in the New York City area, it seems to be very unusual for persons with blue eyes to develop solidly pigmented black or dark-brown basal cell carcinomas. I know that Dr. DeFeo was referring to the latter type of basal cell carcinomas, and

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