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May 1987

Is Pseudomonilethrix a Genuine Hair Disorder?

Author Affiliations

708 Eagle Bldg West Street Durban 4001, South Africa

Arch Dermatol. 1987;123(5):563-564. doi:10.1001/archderm.1987.01660290027003

To the Editor.—  As coauthor of the original articles on pseudomonilethrix,1,2 I read with interest the article by Zitelli, dogmatically entitled "Pseudomonilethrix: An Artifact,"3 which apparently leaves no room whatsoever for doubt or discussion. He is probably unaware that this doubt about pseudomonilethrix has already been raised on several occasions in the past, to which we have replied, "defending" our belief that our "pseudo" condition is indeed "genuine."Zitelli has done his homework well and in a praiseworthy fashion, but we suggest that he first ponder a few points before writing us off so abruptly, namely: (1) Why did our patients present themselves in the first place, complaining of "poor-quality hair that runs in the family?" We are convinced that our patients do not spend their time crossing their hairs and pressing on them as Zitelli has been doing. (2) Countless millions of hairs have been examined microscopically