asmi
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a child with small pigmented macules over his body ,including buccal mucosa ,lips,palms,soles and skin not exposed to sun .What is the diagnosis and additonal findings ?
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| bobby
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tuberous sclerosis
add. findings; cortical tubers
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| asmi
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nope
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| bobby
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neurofibromatosisntype 1?
add. findings, neurofibroma
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| asmi
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hint: colonic polyps
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| Gul
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i could have said Peutz jegher but their polyps occur in small intestine ????
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| Gul
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or could they be also occuring in colon , though small intestine is the most common site
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| asmi
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its peutz jeghar's
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| bluestar
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is this the only macula that can appear in the mouth? Let's find some other skin disorder that's related to visera disease:
:arrow: acathosis nigricans: related to stomach, lung, breast, uterus cancers
:arrow: cafe au lait spot on skin ( does this appear all over the body except face?) --> Neurofibromatosis
:arrow: facial adnoma sebaceum--> tuberous sclerosis
any else you can think of?
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| bobby
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what about facial angiomas or nevus flammeus
tuberous slerosis
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| Bela
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Here's a list of diseases we should think when we see oral pigmentation:
1) peutz jeghers
2) addison's (b/c of increased ACTH and the MSH that it contains)
3) Pb poisoning
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| Gul
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Tell me if Peutz Jegher is premalignant
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| asmi
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its not premalignant for colonic carcinoma but is premalignant for lung ,pancreas etc.
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| usmleasr
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good discussion ..but asmi..will peutz jegar has just a wide spread distribution??
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| asmi
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i think so
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