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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

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    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]
     

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    J.P.C. Peper, Jul 23, 2012
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  2. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    It's Holmes–Adie syndrome
     

    Gospodin Seki, Jul 24, 2012
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  3. lakmalDJ

    lakmalDJ Famous Member

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    Adie syndrome
     

    lakmalDJ, Jul 24, 2012
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  4. karam

    karam Famous Member

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    Holmes–Adie syndrome
     

    karam, Jul 24, 2012
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  5. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    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.
     

    J.P.C. Peper, Jul 26, 2012
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