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We appreciate the comments by Dr Burg and his coworkers. Our experience is that some patients do indeed have a distinct subtype of T-cell lymphoma localized to the subcutaneous fat. Only the subcutaneous tissue is involved in these patients, and they do not have epidermotropic or dermal changes. We have seen two additional cases since our initial report was accepted for publication.
However, we agree entirely with Dr Burg that variants exist even among the subcutaneous T-cell lymphomas. Increased recognition of this entity will allow further subcategorization.
Perniciaro C, White JW, Zalla MT, Menke DM. Distinct Subtypes of Subcutaneous T-cell Lymphoma-Reply. Arch Dermatol. 1994;130(8):1073. doi:10.1001/archderm.1994.01690080143026