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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    ; ^'%r, 'emonhagic portion of tl,e s,)ocimen and «a tl,e result of ti.e clissoction of tl.e tissue from L culdesac A few leukocytes could also be seen in this hemorrhagic area 1 here Mas no attempt to form any connective tissue' or any .new form of specialized tissue growth. The polymorphonu- . clear leukocytes predominated. 'J i BACTERIOLOGY Considerable Avork has been done along bacteriolocric lines of study of pemphigus of the conjunctiva. Elabo- .late studies have been made of the secretions and dis- charges found in e3-es so affected, but no real importance can be attached to the results. Gelpe found in a case reported in 1885, the presence of micrococci, diplococci, and on making a culture of another case, he was able to show streptococci. Sach- salber later found the presence of the diplococcus, the streptococcus, tetragenus, and comma vibrans. Belle- contre-* demonstrated streptococci and staphylococci, and Franke,- from a culture, found the pseudodiph- thcritic bacillus and the staphylococcus. Lipschutz,^ from his microscopic studies, advances two theories in regard to the etiology of this disease, the neuropathic and the bacterial or jDarasitic. By some investigators the contents of the blisters or vesicles have been found sterile, but others have found that they con- , tain strepto- and staphylococci. Lipschutz further claimed to have found something characteristic in the plasma which he called cytoplasma. Bacteriologic study of the case reported in this paper showed the following: a smear made of the secretion from the right eye showed the presence of pus-producing organisms only; in a culture using agar as the medium for growth, the presence of streptococci and pseudo Klebs-Loeffler bacilli was demonstrated. TREATMENT As regards the treatment of pemphigus of the con- junctiva, there is not niuch that can be offered that is new or of any great value. Arsenic, in all of its forms, has been used most generally, and when used, i.l should be pushed to its physiologic limit. It is of 27. Snchsalber : Klin. Monatsbl. f. Augcnh., 1804. p. 241. 2S. BoUecontre : Quoted by I'ergens, I'emphigus dcs Auges. Berlin, 10(11. 20. Frnnko : Der PempbiKus und die essonticlle Schrumpfung der Bindchaut dcs Aug^s, AMesbadcn. lOOO. ao. Lip.schutz : Centralbl. f. Bakteriol., May, 1010.