To the Editor.—Lansky et al's1 article on the "Linear Sebaceous Nevus Syndrome" may be misleading to pediatricians not familiar with the dermatological nomenclature of epidermal nevi. The authors should have referred to three fairly recent articles which would have clarified the diagnosis of the patients presented.2-4
From the pictures presented in the article by Lansky et al, it would appear that the patients had extensive epidermal nevi, but not necessarily of the type referred to as "sebaceous" or nevus sebaceus of Jadassohn, which has a characteristic histologic pattern and usually occurs on the head and neck as single lesions. More extensive presentations of sebaceous nevi as well as linear varieties have been reported but are uncommon. No histologic evidence for this type of nevus is presented in this paper.
It would seem that the authors are describing children who fall into the type of neurocutaneous disease outlined