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2004 Series : October 19, 2004

December 28, 2004  |  December 21, 2004  |  December 14, 2004  |  December 7, 2004  |  November 30, 2004  |  November 23, 2004  |  November 16, 2004  |  November 9, 2004  |  November 2, 2004  |  October 26, 2004  |  October 19, 2004  |  October 12, 2004  |  October 5, 2004  |  September 28, 2004  |  September 21, 2004  |  September 14, 2004  |  September 7, 2004  |  August 31, 2004  |  August 24, 2004  |  August 17, 2004  |  August 10, 2004  |  August 3, 2004  |  July 27, 2004  |  July 20, 2004  |  July 13, 2004  |  July 6, 2004  |  June 29, 2004  |  June 22, 2004  |  June 15, 2004  |  June 8, 2004  |  June 1, 2004  |  May 25, 2004  |  May 18, 2004  |  May 11, 2004  |  May 4, 2004  |  April 27, 2004  |  April 20, 2004  |  April 13, 2004  |  April 6, 2004  |  March 30, 2004  |  March 23, 2004  |  March 16, 2004  |  March 9, 2004  |  March 2, 2004  |  February 24, 2004  |  February 17, 2004  |  February 10, 2004  |  February 3, 2004  |  January 27, 2004  |  January 20, 2004

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This 1-month-old Hispanic boy with suspected Sturge Weber syndrome was seen in consultation.  At age 1 week, the red raised lesions on the right side of the face started to appear. The area of redness continues to increase. CT-scan of the head was obtained prior to the examination and found to be normal. The child is otherwise healthy. The family history is unremarkable.

1.  What is the first step?  
 

a. A complete ophthalmological exam should be performed.
b. A dermatology consultation should be obtained.
c. A neurology consultation should be obtained.
d. 

Exam under anesthesia should be scheduled.


2.  The treatment for this condition is:  
 

a. There is no treatment for this condition; just observe for glaucoma.
b. Anti-seizure medications should be initiated.
c. This condition is extremely benign; see child on an as needed basis.
d. 

Systemic steroid use is necessary if lesions get larger.


3.  What is the most likely diagnosis:
 
a. Sturge Weber syndrome
b. port wine stain
c. capillary hemangioma
d. 

none of the above


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