Unit 10: Systemic Disease

• May or may not involve the eye
• More common when side of the nose involved (Hutchinson's sign)
• Conjunctivitis and episcleritis that usually resolve in a week
• May get:
• Keratitis and corneal lesions
• Iritis and scleritis
• Optic neuritis and extraocular muscle palsies

Skin lesions

• Initial rash is maculopapular, then vesicular. The vesicles burst and form crusty ulcers.
• Treat with oral aciclovir 200 mg x5 daily for 5 days