To the Editor.—
I have carefully considered the comments of Drs. W. L. Macaulay and V. M. Verallo in their defense of "lymphomatoid papulosis" as a disorder separate from Mucha-Habermann disease (MHD) but my opinion has not been changed. A major purpose of our communication was to focus attention on this interesting variation of a disorder which even Verallo originally reported as MHD. My viewpoint has some support in the literature as indicated by the cases reported by Piñol and associates (our reference 16) and by the discussion in Borrie's case (our reference 18). Similarly an autoimmune mechanism for parapsoriasis was postulated by Cañizares long before the present imbroglio.Mucha-Habermann disease does not present a uniform clinical appearance, and wide variations exist in the clinical signs and symptoms of the disease. The fulminating course of the cases reported by Degos et al and Burke and associates are crucial in this
Muller SA. REPLY TO DRS. MACAULAY AND VERALLO. Arch Dermatol. 1971;104(4):435–436. doi:10.1001/archderm.1971.04000220093022
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