Aseptic Necrosis of Warts Instead of Lymphangitis

The document discusses various dermatological conditions and their potential causes. It includes a study by Borensztein and Kohan, which divided patients into three groups based on their exposure to corticosteroids and sunlight, finding that 67% of patients with prolonged corticosteroid treatment without sun exposure and 69% with sun exposure but minimal corticosteroid treatment exhibited cutis punctata linearis colli. Only 28% of those without chronic sun exposure or significant corticosteroid treatment showed the condition. The study suggests that a certain percentage of the population may naturally have beaded lines that become more prominent under certain stimuli. Additionally, the document contains a letter from Dr. Harry L. Roth challenging the notion that cantharidin specifically causes lymphangitis when used on warts, arguing that aseptic necrosis of warts can occur with various treatments that cause dermal-epidermal separation. Another letter by Dr. Daniel J. Trozak discusses hair loss following therapy with chorionic gonadotropin and a low-calorie diet, noting that hair loss began four to six weeks after discontinuing the regimen, with the hair loss pattern similar to telogen effluvium seen after pregnancy.