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Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Dec 14, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis for this patient ?

    Many answers can be accepted in most of the cases uploaded in Spot Diagnosis section , I add the correct answer according to original story of the photo.

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    Hidden Content:
    Reply To See The Correct Answer , Or Wait 7 Days To See It.

    If you added a comment to the topic here so you will see the correct answer below the photo , cause many of you want to know the correct answer fast

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  2. Adnan Alhadlaq

    Adnan Alhadlaq Bronze Member

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    Scleral Melanocytosis

    DD Nevus of Ota and Nevus of Ito but in absence of trigeminal distribution of nevi and the fact that it's bilateral makes the most likely diagnosis is Scleral Melanocytosis
     

  3. Dr reda

    Dr reda Active member

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    Subconjuctiva hemorrhage
     

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    berli Well-Known Member

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    Dr.Wanicha Well-Known Member

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    chin Bronze Member

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    nevus
     

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    bleb of glaucoma surgery
     

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    Georgi Petreshkovski Active member

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    Scleral melanocytosis
     

  16. Ngô Hữu Đạt

    Ngô Hữu Đạt Active member

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    scleral melanocytosis
     

  18. Maher Mufid El-Khalidi

    Maher Mufid El-Khalidi Bronze Member

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    Scleral Melanocytosis , Nevus of Ota was first described by a Japanese dermatologist, M.T. Ota, in 1939 . Histopathology of affected skin shows the presence of dendritic cells containing melanin in the dermis . Ota nevus can be congenital or acquired in adolescence. It occurs almost entirely in persons of Asian descent. Manifestations in fair-skinned non-Asians are very rare . The clinical manifestations are usually unilateral; only 5 percent of cases are bilateral. Clinically, blue-gray macular pigmentation with irregular border involves skin that is innervated by the first and second branches of the trigeminal nerve. Extrancutaneous manifestations include ocular involvement of sclera, episclera, conjunctiva, cornea, retina, and uveal tract. Similar discoloration can be observed in oral mucosa (buccal and palatal), as well as in nasal mucosa and the tympanic membrane. Leptomeninges can also be affected. The occurrence of melanoma has been rarely described .
     

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    nevus
     

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