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To the Editor:—
The paper on keratolysis exfoliativa read by George M. MacKee at the 1930 meeting of the American Dermatological Association is most interesting, and might almost persuade one to believe that the mosaic fungus is a degenerated pathogen. Still I am not convinced.The eruption described as keratolysis exfoliativa is fairly common and is usually overlooked by the patient because it gives no trouble, but it seems to me hardly worth while to set it up as a "disease entity." It is rather a type of exfoliation which may presumably occur under various conditions, one of which is in combination with tinea. In this combination, it is to be considered as a form of trichophytid. In a case reported by me (Williams, C. M.: Arch. Dermat. & Syph. 13:661 [May] 1926) the thin flakes were loaded with mycelia. This brings up the whole question of trichophytid and
KERATOLYSIS EXFOLIATIVA AND THE MOSAIC FUNGUS. Arch Derm Syphilol. 1931;23(4):733–734. doi:10.1001/archderm.1931.03880220139008
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