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We would like to thank Dr Brownstein for his informative letter. He is correct that the association of cutaneous trichilemmomas has been reported previously to our article published in the May 1978 Archives. In Table 1 (p 745) and on page 746, we stated that trichilemmomas had been reported previously in Cowden's syndrome, but we did not cite a reference. We erred and should have cited reference 7 by Greer et al (J Periodontal 47:531-534, 1976). These authors reported a cutaneous trichilemmoma in a 42-year-old woman with Cowden's disease. Dr Brownstein's articles had not been published at the time we submitted our article for publication. We were aware of his articles at the time we submitted our final edited article for publication, but we were unable to incorporate his articles in our article due to a publication dead-line with the Archives.
Nuss DD. Multiple Trichilemmomas in Cowden's Syndrome-Reply. Arch Dermatol. 1979;115(1):111. doi:10.1001/archderm.1979.04010010077041
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