Atrophic Macular Lesions Research Articles

A new syndrome of tapetal-like fundic reflexes with ring scotomata. Report of two cases.

Mann1has drawn attention to very rare instances in which human beings have demonstrated a tapetal-like reflex from the fundus oculi. Her 2 cases presented discrete bright yellow spots in the posterior polar region which seemed to be located deep to the retinal vessels. A similar fundus picture was described by Niccol2in the mother of 2 children with atrophic macular lesions. Falls and Cotterman3reported a family in which females presented the picture of a tapetal-like reflex and males developed typical retinitis pigmentosa. In all of the above cases the tapetal-like reflex appeared to be a benign lesion, with no defects in visual acuity or visual fields. It is the purpose of this communication to present 2 patients with tapetal-like reflexes in the fundi accompanied by defects in the visual fields. Report of Cases Case 1. —A 41-year-old white, married male of Greek origin was seen

SYPHILITIC MACULAR ATROPHY

Macular atrophy of the skin may be divided in two groups: (1) idiopathic macular atrophy, (2) secondary macular atrophy. The first group is formed by a limited number of clinical entities of unknown etiology. The second group is more numerous and includes atrophic macular lesions following a dermatosis and those with a well defined cause. In the first group are placed anetodermia erythematodes maculosa of Jadassohn, multiple benign tumor-like new-growths of Schweninger and Buzzi, idiopathic atrophic macules and the lesions that have been united under the name of white spot disease. In the second group are included the macular atrophic lesions following lichen planus, leprosy, tuberculosis, syphilis, the cases reported by Pellizzari under the name of atrophic erythema, the case of Balzer and Reblaub of dissociated polymorphous erythema, the case of Pospelow consecutive to purpura, the atrophic urticarial erythema following urticaria and several other conditions which are sequelae of lupus