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This 2-year-old Hispanic girl was presented by her mother who was concerned about some discoloration on the white of the eye and in the skin around the eye.  The girl is otherwise healthy and the eye examination, except for the pigmentation shown in the pictures, was normal.  The discoloration of the sclera is "slate grey" and the perilimbal skin appears to have light brown pigmentation

1.	The most likely diagnosis is:
	a. congenital epithelial melanosis b. ocular melanocytosis c. oculodermal melanocytosis (nevus of Ota) d.  none of the above
2.	Which of the following statements are true?
	a. Patients with this condition should be followed regularly. b. There is no chance that the dermal lesion will become malignant. c. The condition is usually acquired. d.  Girls are more often affected.
3.	This patient's chance of developing a uveal melanoma is:
	a. about the same as the general population b. less than the general population c. greater than the general population d.  not known

For answers to the above, click here on or after October 11, 2005.