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September 1972

Dermal Sinus of Dental Origin

Author Affiliations

Charlottesville, Va

Arch Dermatol. 1972;106(3):420-421. doi:10.1001/archderm.1972.01620120094031

To the Editor.—  Case reports of dermal fistulas of dental origin have appeared sporadically in the dermatologic literature. The initial article by Anderson1 in 1937 stressed the frequency with which these cutaneous lesions were incorrectly diagnosed by the physicians who initially saw the patients. This has been borne out in subsequent case reports.The purpose of this paper is to describe an unusual clinical presentation and to discuss the differential diagnosis of dermal fistulas of dental origin.

Report of a Case  The patient, an 84-year-old white man, had been confined to a mental institution for nine years. Ten years previously he had suffered cerebral damage secondary to cerebral anoxia from cardiac arrest during prostatic surgery. He was otherwise in good health. He was unable to give a meaningful history.He was referred to the dermatology clinic because of the presence of a tuft of hair growing within the