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Endocrine

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Dec 8, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis ?

    Endocrine.jpg
     

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    Egyptian Doctor, Dec 8, 2012
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  2. taapataas

    taapataas Well-Known Member

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    Addison disease
     

    taapataas, Dec 8, 2012
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  3. neo_star

    neo_star Moderator

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    Mucosal vitiligo
     

    neo_star, Dec 8, 2012
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  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Buccal mucosa hyperpigmentation. Its on cause of Addisons disease.
     

    Emergency medicine Mike, Dec 9, 2012
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  5. neo_star

    neo_star Moderator

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    i found this image in 2 sources

    one says addison's Tolerance and Autoimmunity

    Another says mucosal vitiligo

    Psoria-Shield Types of Vitiligo

    And if u see closely there are areas of both vitiligo ( even the lip border/ vermilion border has some hypopigmentation ) and hyperpigmentation (suggestive of Addison's disease ) and both conditions are of autoimmune nature and can coexist in the same patient.

    [​IMG]

    Actually i was studying dermat and was on the topic of mucosal vitiligo and may be that influenced what i saw.

    I would have included McCune Albright in my differential for hyperpigmentation, but becos this seems to be auto immune in nature ( the combo of Addison's and vitiligo ), i would like to go for that combo.
     

    neo_star, Dec 10, 2012
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  6. dr.angela

    dr.angela Bronze Member

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    Addison's disease
     

    dr.angela, Dec 11, 2012
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  7. Chriss

    Chriss Famous Member

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    Addison's disease
     

    Chriss, Dec 12, 2012
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  8. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Addison's disease
     

    Gospodin Seki, Dec 14, 2012
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  9. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer ; Mostly Addison Disease
     

    Egyptian Doctor, Jan 6, 2013
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