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Correspondence |

Roosevelt’s Pigmented Lesion: Probably Not a Melanoma—Reply

A. Bernard Ackerman, MD
Arch Dermatol. 2009;145(3):339-340. doi:10.1001/archdermatol.2008.614.
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We appreciate the sustained interest of Goldsmith in the pigmented lesion above the left eyebrow of FDR, he having been the very first physician, in 1979, to raise the possibility in a peer-reviewed medical journal of that lesion being melanoma.1 Our responses to his assertions follow:

1. Lomazow and I “strongly imply that Roosevelt (FDR) had a melanoma.”

Refutation: We sought diligently to do just the reverse. In fact, we set forth clinical criteria in favor of and against melanoma, and we did the same for solar lentigo and reticulate seborrheic keratosis, which were the only realistic differential diagnoses. This is what we said in the last 2 sentences of our article: “On clinical grounds alone—that is, gross inspection—it is impossible to exclude melanoma. Because it seems that the lesion described herein never was biopsied, the answer to the question of the authentic character of it must for now be couched in supposition.”2(p532)

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March 1, 2009
Harry S. Goldsmith, MD
Arch Dermatol. 2009;145(3):339. doi:10.1001/archdermatol.2008.617.
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