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November 1954

BARBER'S INTERDIGITAL PILONIDAL SINUS: The Incidence, Pathology, and Pathogenesis

Author Affiliations


From the Division of Dermatology, Department of Medicine (Dr. Joseph) and the Department of Pathology, (Dr. Gifford) Stanford University School of Medicine, San Francisco.

AMA Arch Derm Syphilol. 1954;70(5):616-624. doi:10.1001/archderm.1954.01540230066008

A BARBER with a ``subepithelial inclusion cyst" in the interdigital web, caused by hairs acting as foreign bodies, was twice presented to the San Francisco. Dermatology Society in 1942.* Since then 6 additional reports of this condition have been published, making a total of 10 cases in the literature. Our attention was directed toward this occupational disease by a patient with multiple lesions and complications to be described below.


Our complicated case was presented at the 1952 meeting of the Pacific Dermatological Association, at which there were approximately 150 dermatologists. Only two such cases were recalled by the group, one of which had been reported. For this reason, it was believed that the condition was rather uncommon; however, Waisman and Olivetti3 state, "presumably the condition is more prevalent than the few reported cases would indicate, because to many of the victims such a relatively trivial and non-disabling occupational

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