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April 1989

Total-Body Photographs of Dysplastic Nevi: Who Pays?

Author Affiliations

Austin Dermatology Clinic, PA 12 Oaks Medical Center 11823 Angus Rd Suite 25 Austin, TX 78759

Arch Dermatol. 1989;125(4):565. doi:10.1001/archderm.1989.01670160113026

To the Editor.—  The work regarding photography of dysplastic nevi by Slue et al1 in the August 1988 issue of the Archives is to be commended. They offer a disciplined and scientific approach to the study and follow-up of dysplastic nevi. The editorial by Clark2 brings up some interesting problems with this approach: who will pay for all of these photographs? The article mentions that the photography department at New York University School of Medicine was in charge of taking these photographs. I do not have a photography department in my one-man clinical dermatology office. It seems inconceivable that a series of 24 photographs could be taken in three minutes. No one has time to run and get the camera, set it up, and take the photographs. The files must be adequately set up, the pictures must be carefully and correctly stored and must be available for quick

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