Abstract

<h3>To the Editor.—</h3> On the three cases of Haber's syndrome (HS) we reported in the June 1981Archives(117:321-324), Crovato and Rebora wrote in the April 1982Archives(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,<sup>1</sup>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: Both DDD and HS are slowly

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