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Answers: 2009 Series : June 9, 2009
December 29, 2009  |  December 22, 2009  |  December 15, 2009  |  December 8, 2009  |  December 1, 2009  |  November 24, 2009  |  November 17, 2009  |  November 10, 2009  |  November 3, 2009  |  October 27, 2009  |  October 20, 2009  |  October 13, 2009  |  October 6, 2009  |  September 29, 2009  |  September 22, 2009  |  September 15, 2009  |  September 8, 2009  |  September 1, 2009  |  August 25, 2009  |  August 18, 2009  |  August 11, 2009  |  August 4, 2009  |  July 28, 2009  |  July 21, 2009  |  July 14, 2009  |  July 7, 2009  |  June 30, 2009  |  June 23, 2009  |  June 16, 2009  |  June 9, 2009  |  June 2, 2009  |  May 26, 2009  |  May 19, 2009  |  May 12, 2009  |  May 5, 2009  |  April 28, 2009  |  April 21, 2009  |  April 14, 2009  |  April 7, 2009  |  March 31, 2009  |  March 24, 2009  |  March 17, 2009  |  March 10, 2009  |  March 3, 2009  |  February 24, 2009  |  February 17, 2009  |  February 10, 2009  |  February 3, 2009  |  January 27, 2009  |  January 20, 2009  |  January 13, 2009  |  January 6, 2009

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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.