centered image

centered image

DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jul 23, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands

    What's your diagnosis?

    It's not Horner. The left eye does respond to light, but in a well lit room it takes about half an hour before it's reached the proper size. The right eye is normal.

    I'll post the correct answer in a few days!

    [​IMG]
     

    Add Reply

    Attached Files:

    • DDx.jpg
      DDx.jpg
      File size:
      89.6 KB
      Views:
      750

  2. Gospodin Seki

    Gospodin Seki Moderator Staff Member

    Joined:
    Jan 3, 2012
    Messages:
    1,042
    Likes Received:
    303
    Trophy Points:
    3,050
    Gender:
    Male
    Occupation:
    Student of Belgrade Medical School
    Practicing medicine in:
    Serbia
    It's Holmes–Adie syndrome
     

  3. lakmalDJ

    lakmalDJ Famous Member

    Joined:
    Jun 21, 2012
    Messages:
    223
    Likes Received:
    17
    Trophy Points:
    445
    Gender:
    Male
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    Adie syndrome
     

  4. karam

    karam Famous Member

    Joined:
    Apr 4, 2012
    Messages:
    183
    Likes Received:
    0
    Trophy Points:
    390
    Occupation:
    Medical student
    Practicing medicine in:
    Syria
    Holmes–Adie syndrome
     

  5. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    Correct answer:

    Yes, it's Holmes-Adie syndrome.

    Due to ciliary ganglion degeneration, the pupil is constantly dilated (usually unilateral). The pupil will respond to light properly, but only after about 30 minutes in a well-lit room. Accomodation, on the other hand, is normal.
     

Share This Page

<