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Americans are great collectors of all kinds of items. Dr. Manny Rothstein, a Fayetteville dermatologist, has one of the more unique collections. Given a back scratcher as a promotional item in 1975, he began to acquire more on his own. Today he has nearly 600 back scratchers in his still-growing collection, and according to the Guinness Book of World Records, the collection is the largest in the world.