Eye Complications of Dermal Leishmaniasis

Mohi Uddin, male, aged 20 years, was admitted on 7th July, 1939, to the hospital attached to the Calcutta School of Tropical Medicine. He gave no history of kala-azar, but a vague history of some undiagnosed fever in childhood. Nodules began to appear on different parts of his body about five years ago. Present condition.?He had a distinct reddish flush of his cheeks and chin, and at times, after exposure to the sun, his whole body showed this flush. He had typical post-kala-azar dermal-leishmaniasis nodules and depigmented areas all over his face and body. Those on his face, and especially those at the skin-mucousmembrane junctions, were smooth reddish bullous nodules, soft and rubbery to feel, but formed of solid though loose-textured tissue. The eyelids were involved in these swellings, his eyes were watery, and he kept them half closed (vide plate XXXI, figures 2 and 3); also, he had photophobia. A nodule was removed from his chin; a smear made from the cut surface of this nodule showed abundant leishmania.