Pemphigus of the conjunctiva : report of a case with microscopic findings / by Walter Baer Weidler.

  • Weidler, Walter Baer.
Date:
[1912]
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Credit: Pemphigus of the conjunctiva : report of a case with microscopic findings / by Walter Baer Weidler. Source: Wellcome Collection.

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    PEMPPIIGUS OF THE CONJUNCTIVA* REPORT OP A CASE WITH MICROSCOPIC EINDINGS WALTER BAER WEIDLER, M.D. NEW YORK Pemphigus of the conjunctiva is one of the grave diseases of the eye, and was recognized and diagnosed as such as early as 1800. Before this time it was classified- with the urticarias and scabies^, involving the face and eyes; many others considered it a xerosis of the con- junctiva. When this condition affects the eyes it is usually bilateral, although often unequal in the degree of severity. There does not seem to be any constant relation between the duration of the skin affection and the development of the eye lesions. Pemphigus may affect the conjunctiva primarily, but this is rather rare, and in some of the cases so renorted the lesions of the skin or mucous membranes may have been overlooked. The course of tlie disease is usually very slow, extend- ing over a period of,years. Samelsohn^ mentions a case that lasted over seven years, with little or no atrophy of the conjunctiva following, while, on the contrary, in Silcock's^ case the one eye was completely destroyed in six weeks and the other one seriously damaged. There is no definite course or duration in pemphigus of the conjunctiva. _ Crocker,^ in speaking of pemphigus of the skin, men- tions this disease as rare, occurring once in 500 cases in the skin dispensaries of England and America. It is more often seen in England and continental Europe. There are very many different forms of pemphigus, but perhaps pemphigus chronicus is most frequently seen. Typical cases of this peculiar form show oval bullse with * lieacl in tlie Section on Oplitlinlmology of tlie American Modica Cl'tl^^'S-TOlo.'^' Sixty-Third Annual''•Session, held at AtSantl 1. Samelsohn : Ber. d. ophth, Gesellsch., 1878 2. Silcock: Tr. Ophth. Soc. U. Kingdom, 1807, p. 1