To the Editor.—
We read with great interest the excellent article by Crotty et al, in the September 1981 Archives (117:540-542), describing five patients with familial benign chronic pemphigus (Hailey and Hailey disease) who underwent excision and split-thickness skin grafting.In an article written by us and published in the Journal of Dermatologic Surgery and Oncology (1980;6:662-663), we reported that no recurrence inside or outside the graft sites occurred in our patient with familial benign chronic pemphigus during a four-year follow-up period. It is our opinion that wide enough excision of the involved areas will prevent recurrence of the disease, although familial benign chronic pemphigus is potentially capable of developing all over the body.We wholeheartedly support this mode of surgical treatment of this disease, as first described by Biro and Maday,1 in 1966, for selected severe cases.
Weinrauch L, Peled I, Kaplan HY, Wexler MR. Familial Benign Chronic Pemphigus. Arch Dermatol. 1982;118(11):879. doi:10.1001/archderm.1982.01650230007012