Hard chancre of the eyelids and conjunctiva / by David DeBeck.

  • DeBeck, David.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Hard chancre of the eyelids and conjunctiva / by David DeBeck. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    Site of Ulcer. Character of Ulcer. Condition of Neighbor- ing Glands. Subsequent Symptoms. Treatment and Result. Right lower lid at the inner fourth. The ulcer 7-8 mm. in ex- tent, spreading2 mm. upon the external skin. Cilia absent. The floor is nodular and red. Base indu- cated, extending a little beyond the lim- its of ulceration. Conjunctiva injected, with an abundant muco-purulent se- cretion. Epiphora, from ul- ceration of the lach- rymal punctum. Lid swollen to twice its volume, and red. Pre-auricu- lar and sub- maxillary glands greatly swollen. Roseola; mucous liatches on the tongue and tonsils. Cervical glands en- larged. Local: calo- mel and bo- rate of soda. General: bi- chloride, and syrup of iodide of iron. Healed with well-mark- ed cicatrix. Left upper lid, occu- pying the lachrymal portion of the lid margin, and involv- ing the inner angle. Lo wer lid intact. Ulcer bathed in pus and in the tears. Lid quite oedematous and somewhat ever ed. Conjunctiva with marked chemosis at the inner augle. Acute catarrhal con- junctivitis. Pre-auricu- lar, sub- maxillarv, and cervical glands en- larged. Not given. Local: iodo- form pow- der. General: in- unctions. Left lower lid at the inner angle. Ulcer 5 mm. in diam- eter, on a large, in- durated base. The edges thick and swol- len, making the ulcer appear quite deep. Base grayish, with a sanious discharge. A pre-auric- ular gland slightly, and the sub- maxillary gland very greatly, en- larged. Secondary: roseola, mu- cous patch- es on the palate, fauces, and lips, etc. Local: iodo- form salve. General: in- unctions. Healed. Left lower lid at the inner angle. A small patch, 5 mm. in diameter, resting on a base much more extended and strong- ly indurated. Pre-aurieu- lar glands enlarged and very painful. Insomnia and head- ache. Roseola; in ucous patches in the mouth; syphilde the size of a fil- bert at the angle of the jaw. Inunctions. Healed. Left upper lid at junction of the inner with the middle third. At the margin and extending onto the conjunctival surface. Characteristic sore (appeared two weeks later.) Ulcer is in- UUIatcU anu ou&niij eroded. Caruncle and plica thickened and red. Pricking pain. V_i lUllUo IIUV enlarged. C'ncp not again seen. Anti-spe- cific (''mix- ed ) treat- ment inter- nally. Local: solu- tion of boric acid, and yellow ox- ide of mer- cury salve. Same as above. Lett upper lid at the middle. From the margin onto the conjunctiva. TTlnor inrliirntpH tiurl UlLLl iiiuui<ucu ciiiu with abrupt margins. Appeared three weeks alter. Lid and caruncle much swollen. Pre-auricu- glands en- larged. Secondary developed; but im- proved rap- idly under treatment. As above. On the cutaneous surface of the right lower lid, along near- ly its entire length, separated from the margin by a strip i. in in. wiue, oi in- tact skin. At the outer uanthus it en- croaches at one small point upon the lid margin. A large, shallow ul- cer, with uneven, in- filtrated edges; floor reddish, granular, and secreting a little pus and an abundant ,■1.1, . ] 1 l rill r\ 1 1 O t i , v isciu uuriiiouo se- cretion. Base of a cartilage- like induration. Lid swollen. Cilia wanting. Sub-maxil- lary gland swollen. Ten weeks later, rose- ola, mucous patches on the genitals, alopecia, etc. Mercury. Healed and 1 iwl 11 T*1111 fUl 1UV.1 U1 -1 I 1 ' 1 1 1 slowly dis- appeared.