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2007 Series -  June 19, 2007 Lecture 28 of 52  NEXT»

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QOW061907

This 1-year-old girl has a mass just inside the left lateral orbital rim.  This has been enlarging slowly over the last several months. She was treated for lacrimal adenitis but without any change in the clinical signs. Examination of the eyes was normal.  Further examination of the child revealed six tan colored flat pigmented “spots” on the trunk and the upper part of the arms. There was elicited no family history for the condition this child demonstrates.  A CT scan of the orbits was obtained.

1.  What is the most likely diagnosis?   
 

a. dacryoadenitis
b. measles
c. neurofibromatosis
d.  onchocirciasis
e. none of the above

2.  What is another thing you would look for in this child?  
 

a. webbing of the toes
b. melanocytic hamartomas of the iris
c. myopia
d.  notching of the teeth
e. sudden weight gain

3.  How would you treat this patient? 
 
a. excisional biopsy of the lesion
b. antibiotics
c. corticosteroids
d.  watchful waiting and family counseling
e. radiation therapy

For answers to the above, click here on or after June 26, 2007.

 


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