To the Editor.—
We read with interest the case report by Bruynzeel-Koomen and de Wit1 of a patient with confluent and reticulate papillomatosis (described by Gougerot and Carteaud) who responded to treatment with etretinate. The authors mentioned that the organism Pityrosporon orbiculare may be pathogenic, in association with an abnormal host response. This theory was given support by Roberts and Lachapelle2 in their report of a patient responding to treatment with selenium sulfide. Because of this finding, we recently treated a patient with the same condition with imidazole antifungal agents, and would like to report our experience.
Report of a Case.—
A 21-year-old woman presented with an eruption on the trunk. It had started nine years previously with isolated papules and had been slowly progressive. Treatment with strong topical steroid preparations had been ineffective. Examination revealed erythematous scaly papules on the trunk. In many areas, especially on the flanks,