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To the Editor:—In the August issue of the Archives (52:115, 1945) under the title of "Semblance of Elastic Tissue to Mycelium in Potassium Hydroxide Preparations," Drs. W. S. Green and M. C. Shepard call attention to a condition which was described some time ago by Dr. S. Bayne-Jones and me (Elastic Tissue Simulating Mycelial Filaments in Skin Scrapings, Arch. Dermat. & Syph.8:37-43 [July] 1923). Our article was based on a study of 2 cases of granulomas of undetermined origin.
In the light of these publications it should be stated that open or eroded areas examined for fungi should be suspected of revealing elastic tissue which may simulate mycelial filaments. It is of course timely to reiterate this concept in view of the importance of establishing a diagnosis.
We could find no mention of this experience in the literature preceding our publication.
Pels IR. SEMBLANCE OF ELASTIC TISSUE TO MYCELIUM IN POTASSIUM HYDROXIDE PREPARATIONS. Arch Derm Syphilol. 1945;52(5):401. doi:10.1001/archderm.1945.01510290106024
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