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Dermatology

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Collagen Vascular Diseases

Question
40 out of 54
 

A patient had seven irregular hyperpigmented macules on the trunk and multiple small hyperpigmented macules in the axillae and groins since early childhood. There were no other skin lesions. Which is the most likely investigation to support the diagnosis? (AIPG 2012)



A Slit lamp examination of eye

B Measurement of intraocular tension

C Examination of fundus

D Retinal artery angiography

Ans. A
Slit -lamp examination of eye [Ref Nelson 17'h/e p. 2483]

Seven hyper pigmented macules on trunk with multiple hyperpigmented macules in axilla (freckling) point towards the diagnosis of neurofibromatosis. So, for supporting the diagnosis we need to see iris hamartomas (lish nodules) by slit lamp examination.

Collagen Vascular Diseases Flashcard List

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