|
|
 |
Answers: 2009 Series : June 9, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
To see views enlarged, click on the individual pictures...
| This 10-month-old boy was presented for examination with a history of reddish discoloration of the forehead on the right present since birth. Pregnancy, birth, and developmental history was said to be normal. There are two older siblings, a boy and a girl who are normal. There is no family history of this kind of problem. The child appears healthy otherwise. |
| 1. |
The most likely diagnosis is: |
|
a -- Sturge-Weber syndrome
This is the typical port wine stain appearance of Sturge-Weber syndrome. It is a neuro-oculocutaneous syndrome with leptomeningial angiomatosis found most often in the occipital or temporal areas, with a port wine stain (capillary hemangioma) on the forehead, and with a high incidence of glaucoma. This glaucoma may cause bupthalmos and require surgical treatment with filtration.
|
| 2. |
The principal ocular complication with early onset to be expected in this type of patient is: |
|
d -- glaucoma
Glaucoma is the main ocular complication.
|
| 3. |
The family asked if this type of problem is likely to occur again if they have more children. Your answer would be: |
|
c -- This condition is not usually familial and generally affects both sexes equally.
|
The discoloration of Sturge-Weber can be lessened by careful superficial application of laser treatment to the involved area of skin.
|