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Nomenclature for diseases with IgA antikeratinocyte cell surface autoantibodies

tact may play a role. Thus, it is no surprise that white piedra typically occurs in tropical and temperate climates. The largest U.S. series was reported in Houston, TX, of men with genital infections of T. beigelii. In 2006, Kiken et al. reported a series of eight children with white piedra of the scalp and suggested that white piedra was an emerging entity in northeastern U.S.A. However, five of those cases were in immigrant children, and few subsequent U.S. cases have been published. We surmise that prolonged wet hair in our patients, in the absence of oils or occlusion, contributed to infection, despite habitation in a climate that is dry and cold for many months of the year.