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August 1966


Author Affiliations

1st Clinic of Dermatology University of Vienna Alserstrasse 4 1090 Vienna, Austria

Arch Dermatol. 1966;94(2):252. doi:10.1001/archderm.1966.01600260144025

To the Editor:  The case presented by Kwittken and Goldberg in the Archives of Dermatology (93:177-183, 1966) calls for comment because it does not correspond with the results obtained in our own studies. The patient's course and histopathology demonstrated the characteristics of a lymphocytoma (benign lymphoplasia)1 which is to be distinguished from the malignant lymphoma group (giant follicular lymphoblastoma or Brill-Symmers disease). The smear of tumor aspirate (Fig 10) is almost identical with our studies.2 The peripheral fibrillar arrangement (Fig 6) does not seem to correspond with that seen in the malignant lymphoma group.3Together with Wilgram we investigated many cases with similar histologic features (a detailed report will be published later in the Archives). The reticulum cells with dense mosaic-like, flattened nuclei and the numerous phagocytes with polychrome bodies1 (as seen in Fig 2) are highly characteristic of benign lymphoplasia (giant follicular type). The