EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Systemic Disorders
Diagnosis: Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma.

Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma.

Image Comments:

The cynosure of this startling photo ( taken by Dr. Caccamise in 1968 at the Kurji Holy Family Hospital Eye Clinic in India ) is the destruction of the nose by a gummatous process of the patient's tertiary syphilis.From an ocular point of view, there is an important sign highly suggestive of trachoma, i.e. the notching of the right upper lid - somewhat imaginatively called the s-curve deformity of trachoma.

Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma.


Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma.


Syphilis and trachoma: tertiary syphilis with gumma distruction of nose; also s-curve of right upper lid due to trachoma.


 

 

NO ONE MAY USE THESE PHOTOGRAPHS FOR PUBLICATIONS OR FINANCIAL GAIN WITHOUT WRITTEN AUTHORIZATION FROM THE CONTRIBUTING AUTHOR.