What You Need To Know About Keratitis

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Herpes require immediate consultation with an ophthalmologist, a physician with experience in treatment of diseases of the eye.

The serious nature of this problem is manifest when scratch on the lens of a camera, will ‘cause the image which is reflected on the retina of the inner portion of the eye (as on the photographic film) to be diffuse or fuzzy.

Debbie came into our clinic in pain and ill. She had serious Herpetic lesions in the vaginal region and around her mouth. Another problem was that of painful red eyes. The blood vessels were inflamed andlight caused her pain. Staining with flourescein (an agent in eye drops that outlines tiny irregularities of the surface of the eye) showed some small ulcers of the cornea. For this problem of keratitis Debbie was referred immediately to an eye clinic to assist in the care of a difficult problem.

HERPES OF THE SKIN

Herpes lesions are not limited to the lips, the eyes, or the genitalia. Occasionally one finds the sores in remote parts of the body. Walter was an above average student who suffered from a habit not uncommon in persons who are concentrating. He often sucked, chewed, or at least touched to his lips the second joint of the index finger of his left hand.

When he presented himself at the clinic, his main complaint was that of an ulcer at the second joint of the left index finger. Walter had previously seen other physicians who had tested the fester for syphilis, but the local microscopic examination called the dark—field had been negative. In this examination a skilled technician can identify the spirochetes which cause the disease. The blood test for syphilis was also negative.

Walter did have a fever blister and on close questioning, the relationship of putting that particular area of his finger to his lips revealed the answer to the diagnostic puzzle. We became suspicious of Herpes. Both sores, the finger and the lip, revealed positive cultures of. Herpes simplex virus, Type 1. This kind of lesion is. seen often enough to have been given its own name. It is called a Herpetic Whitlow.

Walter’s case illustrates two things about Herpes: one, that Herpes can attack the tough skin covering of the body as well as the softer and more vulnerable mucous membranes; and two, that the condition can spread by direct contact or “autoinoculation.”

Josie is a pleasant, genteel lady of 72 years. She came to us as a result of the ads in the newspaper and was by far the oldest person whom I have seen who has been proven to have Herpes simplex virus disease.

Josie related having a single recurrent lesion about the size of a silver dollar on the upper part of her right buttock. The significant fact about her history is that the blister had been recurring about every month for forty years. We were able to culture the virus from the fluid of the infected site.

In addition to this evidence that she did have Herpes, we found another positive test which confirmed the diagnosis. Large cells which have multiple nuclei were found. These giant cells have an odd but quite consistant appearance under the microscope. They are seen in the serum (fluid) which exudes from the sores. Finding these large cells was previously the primary method of making the diagnosis and still is one way of helping to confirm it.

Josie seems to be one of those people whose immune level remains low.

Large cells which have multiple nuclei were found. These giant cells have an odd but quite consistant appearance under the microscope. They are seen in the serum (fluid) which exudes from the sores. Finding these large cells was previously the primary method of making the diagnosis and still is one way of helping to confirm it.

Josie seems to be one of those people whose immune level remains low.

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