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Rosacea with Keratitis. Presented by Dr. Royal M. Montgomery.
A. L., a man aged 53, has had the present eruption on the cheeks for fifteen years and on the forehead for four months. The right eye has been affected for five years.The skin of the cheeks and forehead is erythematous and telangiectatic, with a moderate number of small pustules. There is some scarring. The right cornea is covered with a gray scar, especially the outer two thirds. There is apparently a beginning invasion of the left cornea.The patient has had an operation on the right eye, without apparent success. The Wassermann reaction of the blood was negative. Roentgenograms showed some involvement of the frontal and ethmoid sinuses and the antrums.The patient had been referred to the dermatologic clinic for treatment of the eruption. There it was diagnosed as keratitis from rosacea. Treatment has consisted of administration of