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To the Editor.—
In the article "Multiple Hamartoma Syndrome (Cowden's Disease)," which appeared in the May 1978 Archives (114:743-746, 1978), Nuss et al incorrectly stated in the abstract that the association of multiple cutaneous trichilemmomas is a previously unreported finding in Cowden's syndrome. In Table 1 (p 745) and on page 746, Nuss and colleagues correctly stated that trichilemmomas have been reported previously in Cowden's syndrome, but they did not cite any references. Readers of the Archives may be interested in the following pertinent references: M. H. Brownstein et al: "Trichilemmomas in Cowden's Disease" (JAMA 238:26, 1977); M. H. Brownstein et al: "The Dermatopathology of Cowden's (Multiple Hamartoma) Syndrome" (Arch Dermatol 113:1713, 1977); and M. H. Brownstein and L. Shapiro: "The Pilosebaceous Tumors" (Int J Dermatol 16:340-352, 1977). In addition, the communication "Cowden's Disease: A Cutaneous Marker of Breast Cancer," by M. H. Brownstein and associates (Cancer 41:2393-2398, 1978), summarized
Brownstein MH. Multiple Trichilemmomas in Cowden's Syndrome. Arch Dermatol. 1979;115(1):111. doi:10.1001/archderm.1979.04010010077040