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USE OF CORNEAL AND PHARYNGEAL REFLEX IN DERMATOLOGIC DIAGNOSIS

USE OF CORNEAL AND PHARYNGEAL REFLEX IN DERMATOLOGIC DIAGNOSIS Abstract Consideration of the corneal and pharyngeal reflex has been a controversial issue among dermatologists for many years. In certain psychogenic diseases, such as neurotic excoriations and dermatitis factitia, many physicians believe the presence or absence of one or both of these reflexes is a valuable aid in diagnosis and differential diagnosis. Most of us have believed that the presence of a corneal and pharyngeal reflex is a normal condition in practically everyone. Generally speaking, in certain conditions neurologists also place importance upon the presence or absence of a corneal reflex. Wechsler1 makes the statement that the absence of a corneal reflex is part of the picture of hysteria. Walker2 refers to the value of a unilateral absence of the corneal reflex in differential diagnosis of certain cerebral conditions. As far back as 1920, Dr. Howard Fox3 called attention in various discussions to the presence or absence of References 1. Wechsler, I. S.: A Textbook of Clinical Neurology with an Introduction to the History of Neurology , Ed. 4, Philadelphia, W. B. Saunders Company, 1939. 2. Walker, A. E.: Cerebral Arc of Corneal Reflex , J. Nerv. & Ment. Dis. 92:569-578 ( (Nov.) ) 1940. 3. Fox, H.: Lupus Vulgaris (Follicular Disseminated Type) , Arch. Dermat. & Syph. 1:336 ( (March) ) 1920. 4. Graham, T. N., and Lewis, G. M.: Significance of Absent Pharyngeal and Corneal Reflexes in Cutaneous Diseases , New York J. Med. 44:621-625 ( (March) ) 1944. 5. Morris, H.: Human Anatomy: A Complete Systematic Treatise , Ed. 10, edited by Shaeffer, J. P., Philadelphia, The Blakiston Company, 1942. 6. Anderson, W. N.: Physical Diagnosis , Philadelphia, Lea & Febiger, 1940. 7. Cabot, R. C., and Adams, F. D.: Physical Diagnosis , Ed. 12, Baltimore, William Wood & Company, 1938. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology & Syphilology American Medical Association

USE OF CORNEAL AND PHARYNGEAL REFLEX IN DERMATOLOGIC DIAGNOSIS

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-5979
DOI
10.1001/archderm.1952.01530220092010
Publisher site
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Abstract

Abstract Consideration of the corneal and pharyngeal reflex has been a controversial issue among dermatologists for many years. In certain psychogenic diseases, such as neurotic excoriations and dermatitis factitia, many physicians believe the presence or absence of one or both of these reflexes is a valuable aid in diagnosis and differential diagnosis. Most of us have believed that the presence of a corneal and pharyngeal reflex is a normal condition in practically everyone. Generally speaking, in certain conditions neurologists also place importance upon the presence or absence of a corneal reflex. Wechsler1 makes the statement that the absence of a corneal reflex is part of the picture of hysteria. Walker2 refers to the value of a unilateral absence of the corneal reflex in differential diagnosis of certain cerebral conditions. As far back as 1920, Dr. Howard Fox3 called attention in various discussions to the presence or absence of References 1. Wechsler, I. S.: A Textbook of Clinical Neurology with an Introduction to the History of Neurology , Ed. 4, Philadelphia, W. B. Saunders Company, 1939. 2. Walker, A. E.: Cerebral Arc of Corneal Reflex , J. Nerv. & Ment. Dis. 92:569-578 ( (Nov.) ) 1940. 3. Fox, H.: Lupus Vulgaris (Follicular Disseminated Type) , Arch. Dermat. & Syph. 1:336 ( (March) ) 1920. 4. Graham, T. N., and Lewis, G. M.: Significance of Absent Pharyngeal and Corneal Reflexes in Cutaneous Diseases , New York J. Med. 44:621-625 ( (March) ) 1944. 5. Morris, H.: Human Anatomy: A Complete Systematic Treatise , Ed. 10, edited by Shaeffer, J. P., Philadelphia, The Blakiston Company, 1942. 6. Anderson, W. N.: Physical Diagnosis , Philadelphia, Lea & Febiger, 1940. 7. Cabot, R. C., and Adams, F. D.: Physical Diagnosis , Ed. 12, Baltimore, William Wood & Company, 1938.

Journal

A.M.A. Archives of Dermatology & Syphilology – American Medical Association

Published: Mar 1, 1952

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