LEOPOLD G. KOSS, M.D.
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To the editor: I can confirm Dr. Prolla's observations (Ann Intern Med 80:674, 1974) that Curschmann's spirals may be occasionally observed in gynecologic smears.
The origin of these structures is not completely clear. In at least one such case, which I presented at the International Congress of Cytology in London in May 1971, there was a reasonable suggestion that the Curschmann's spiral found in the vaginal smear, was of extraneous origin: the patient's husband was known to be asthmatic. Smoking by patients probably has nothing to do with the occurrence of these spirals as proposed by Dr. Prolla. The finding
KOSS LG. Vaginal Curschmann's Spirals. Ann Intern Med. 1974;81:416. doi: 10.7326/0003-4819-81-3-416_1
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Published: Ann Intern Med. 1974;81(3):416.
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