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Phlyctenular ophthalmia has been so variously described by writers and teachers it would seem but fair to assume that each may have been faithful in describing that form most frequently observed in his practice. Believing no form of phlyctenular ophthalmia should be regarded as a merely local form of disease, calling for local treatment alone, I am led to introduce the subject in its clinical aspects. It is certain the herpetic disease described by Stellwag is just as much a local manifestation of constitutional dyscrasia as are the serpiginous ulcers, or the more common conoidal masses of lymphoid cells described by the old writers as scrofulous and syphilitic ophthalmia. It is very important to distinguish between the phlyctenular diseases of miasmatic and malarious localities, and those observed in strumous, rachitic and syphilitic subjects. According to some writers it would be difficult to determine the syphilitic from the non-syphilitic cases; but
REYNOLDS DS. PHLYCTENULAR OPHTHALMIA.Read in the Section on Ophthalmology at the Forty-Fourth Annual Meeting of the American Medical Association. JAMA. 1893;XXI(16):558–560. doi:10.1001/jama.1893.02420680008002a
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