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May 1974

Epidermal Inclusion Cysts-Reply

Arch Dermatol. 1974;109(5):736. doi:10.1001/archderm.1974.01630050070025

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To the Editor.—  We appreciate Dr. Ackerman's comments regarding our article. His differential diagnosis is certainly correct. When we first examined the findings in our case of molluscum contagiosum in epidermal inclusion cysts, we too considered the possibility of a tangential cut. Several pathologists and dermatologists reviewed the case, and we were all satisfied that these were true cysts on the basis of the following findings: (1) Some of the cysts were located very deep in the dermis. We believe that the deeper cysts shown in Fig 1 of our article could not be the result of a tangential cut. (2) Reorientation of the tissue block for further examination continued to show the deep cysts. (3) Serial sections through the entire tissue block showed identical findings.

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