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Dante Borelli, M.D.
Instituto Médico del Este Caracas, Venezuela

AMA Arch Derm. 1957;76(6):789-790.

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To the Editor: I have read with great interest the short note by Dr. Miles Havyatt about the rapid office diagnosis of chromomycosis (A. M. A. ARCHIVES OF DERMATOLOGY 75:850). An interesting method for obtaining culture is described by him. I should like to discuss some points about the same subject.

1. Chromomycosis is a granulomatous intermediary localized mycosis, whose somewhat polymorphous clinical picture almost always includes a fair amount of scaling.
   
2. The causative pigmented fungi reproduce by different ways in culture; but their pathogenic properties, tissue appearance, and almost always their macroscopic cultural shape are uniform. They produce one malady, and until now all have been equally resistant to medical treatment. The species-form identification of the agents of chromomycosis is not a useful step either to a rapid office diagnosis or to a more rationale therapy.
   
3. It should be emphasized that besides Fonsecaea pedrosoi and Fonsecaea compacta,
   

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