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2004 Series -  October 19, 2004 Lecture 11 of 50  NEXT»

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This 1-month-old Hispanic boy with suspected Sturge Weber syndrome was seen in consultation.  At age 1 week, the red raised lesions on the right side of the face started to appear. The area of redness continues to increase. CT-scan of the head was obtained prior to the examination and found to be normal. The child is otherwise healthy. The family history is unremarkable.

1.  What is the first step?  
 

a. A complete ophthalmological exam should be performed.
b. A dermatology consultation should be obtained.
c. A neurology consultation should be obtained.
d. 

Exam under anesthesia should be scheduled.


2.  The treatment for this condition is:  
 

a. There is no treatment for this condition; just observe for glaucoma.
b. Anti-seizure medications should be initiated.
c. This condition is extremely benign; see child on an as needed basis.
d. 

Systemic steroid use is necessary if lesions get larger.


3.  What is the most likely diagnosis:
 
a. Sturge Weber syndrome
b. port wine stain
c. capillary hemangioma
d. 

none of the above


For answers to the above, click here:


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