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April 1989

Physician-Drug Company Complex

Arch Dermatol. 1989;125(4):567. doi:10.1001/archderm.1989.01670160115030

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To the Editor.—  What is this world coming to? I note that in the October 1988 issue of the Archives, there were eight pages of Rogaine (The Upjohn Co, Kalamazoo, Mich) and seven pages of Accutane (Hoffmann-La Roche Inc, Nutley, NJ) advertising. The patients whose photos show moderate and dense hair growth after Rogaine treatment may have had limited hair growth, if any at all, when adjustments in the lighting, distance, and angle of the camera, and, most particularly, the direction of hair combed over the vertex are considered. If the hair is combed forward from only ½ in more posteriorly in the "after" photograph than in the "before" photograph, virtually all of the improvement is photographic, and this appears to be the case.The total number of female patients with cystic acne who could benefit from Accutane treatment probably would not pay for the advertising, let alone show a

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