Pilonidal Lesions in Infants
I take issue with Dr. Lewin's article, Pilonidal Cyst in Infancy, Pediatrics, 35:795, on several counts. First of all and most important, the evidence on which he claims to be making a historical first case report is very shaky indeed. I do not believe that "strongly suggestive" clinical and anatomic evidence is a sufficiently strong platform on which one should base such a claim. Dr. Lewin is basing his entire thesis on the fact that his patient developed an abscess (subsequently a sloughing cellulitis) in an area where congenital sinuses are occasionally observed.
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