BRONX DERMATOLOGICAL SOCIETY

Syphilitic Atrophy of the Optic Nerve. Presented by Dr. Charles Pines.  A. C., a dressmaker aged 31, was first seen at the Central Social Hygiene Clinic of the Department of Health on Jan. 29, 1937. She complained of dizziness and double vision. Examination showed clinical evidence of tabes dorsalis. The patient soon disappeared from observation and returned about one and one-half years later, stating that in the interval she had been under treatment at Harlem Valley State Hospital, Wingdale, N.Y. A report from that institution showed that she had difficulty of speech and other signs of repidly advancing dementia paralytica. She was paroled in December, having shown improvement except for impaired vision. Physical examination on readmission to the clinic showed involvement of the second, third and seventh cranial nerves and evidence of bilateral early atrophy of the optic nerves.Ophthalmologic examination on Oct. 25, 1939, gave the following results: Vision