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Ichiro Kikuchi, MD
Department of Dermatology Miyazaki Medical College 889-16 Kiyotake, Japan

Arch Dermatol. 1983;119(5):365-366.

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To the Editor.—

On the three cases of Haber's syndrome (HS) we reported in the June 1981 ARCHIVES (117:321-324), Crovato and Rebora wrote in the April 1982 ARCHIVES (118:214) that Dowling-Degos disease (DDD) should be seriously considered in the differential diagnosis of HS. In a reply to Crovato and Rebora, I said that HS and DDD are different entities, since all cases of DDD, originally reported by Jones and Grice,¹ had had reticulate pigmentation, while our cases of HS did not. I recently observed four cases of DDD in one family; one of these patients did not have reticulate pigmentation. Therefore, reticulate pigmentation is not a prerequisite for the diagnosis of DDD.

I have changed my view. In addition to the common histologic feature of epidermal downgrowths, I now think HS may be the same as DDD for the following reasons:

1. Both DDD and HS are slowly
   

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