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June 3, 1893

A SYPHILITIC GUMMA OF UPPER EYELID RESEMBLING A DISLOCATED LACHRYMAL GLAND.Read before the Chicago Ophthalmological Society, April, 1893.

JAMA. 1893;XX(22):606. doi:10.1001/jama.1893.02420490010001e

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Abstract

Miss P., age sixteen, appeared in my clinic, Illinois Charity Eye and Ear Infirmary, September 24, 1892, with interstitial keratitis right eye. Patient has always been healthy except, her mother says, "had scrofula when a baby lasting until she was six years old," the eruption appearing only on head, face and neck. Father and mother healthy; three children living, youngest three years, oldest eighteen years, all healthy; eight dead—one typhoid fever, three diphtheria, one pertussis, one pneumonia, one drowned, one miscarriage. No specific history in parents or patient except as mentioned above. Ordered:

R.—Atropin Sulph., gr ii.

Aq Dist., [unk]i. [unk].

Sig.: Gtts. ii in right eye; t: d. Internally increasing doses of kali iodide.

Patient gradually improved until October 20,1892, when she noticed a growth in upper eyelid coming on suddenly and interfering with movements of the eye. On examining the tumor found it to be freely movable and

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