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  Vol. 251 No. 8, February 24, 1984 TABLE OF CONTENTS
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Onan's Act-Reply

Joseph L. Jorizzo, MD; Paul Subrt, MD; M. Elizabeth Archer, MD
University of Texas Medical Branch Galveston

JAMA. 1984;251(8):1026.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

We greatly appreciate Dr Waldman's comments. We are aware of the biblical controversy that he reviews. However, Dorland's Medical Dictionary does list onanism and masturbation as synonyms. I am more concerned, however, with Dr Waldman's suggested appellation, factitial frictional dermatitis of the penis. The history of the diagnosis factitial dermatitis in dermatology has been filled with controversy. Current dermatologic opinion regarding self-induced cutaneous disease favors separating cutaneous artifactual disease (contrived disease) from clinicopathologic entities such as lichen simplex chronicus and prurigo nodularis, which often are the result of compulsive habit and are not contrived.1-3 If the term factitial dermatitis. is used at all, it is usually as a synonym for cutaneous artifactual disease. The correct dermatologic diagnosis for our patients, as stated in our original letter, was lichen simplex chronicus of the penis; however, we continue also to use the not totally accurate, but quaint, appellation frictional . . . [Full Text PDF of this Article]



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