3 years old male admitted at Benadir hospital In OPD and his complain is generalized skin Hardening and Sclera you see thiz pictures what's ur spot diagnose??? nd what you think to manage?

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Hello Dr. Samia This visual shows dehydration, pigmentation and loss of pad of fat under the skin indicates MALNUTRITION In visual, the eye shows Trichiasis....ingrown eyelashes Corneal clouding Eyelid scarring And inflammation Altogether more favour to TRACHOMA. Management: Fluid therapy for rehydration. Moisturiser of the body by using good Moisturisers Aloevera, white paraffin and urea. For EYE(trachoma) Tab Azithromycin 250mg 1/2 tab twice daily until getting good results Eyelid correction For clouded cornea...Corneal transplantation is option.
Eye findings in each eye r Suggestiive of corneal opacification due to xerophthalmia due to vit - A deficiency. There seems to be some trichiasis of left upper lid. There is characteristic lack of inflammation & eyes r almost white Suggestiive of xerophthalmia. (In trachoma eyes would be red).
This looks like a case of protein energy malnutrition doc samian eye changes are due to VIT A Deficiency FOLLOW the WHO guidelines for management of PEM Give VIT A suppli take opthal and derma opinion
thanks Doctor but this case is not PEM bcz according to age his wieght hight z-score is totally normal so we Can't say that but there is some thing else that i want to discuss
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this case is Xeroderma pigmentosum there is history of photosensitivity we need to classify sqoemous cell carcinoma we send biopsy nd we wait the answer Insha Allah
?congenital erythropoetic porphyria ?XP
Is there any history of photosensitivity, frequent blistering during summer.
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? XP H/o photosensitivity doc?
Xeroderma pigmentosa
yess Right diagnose than you
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Dx : BILATERAL CONJUCTIVAL SCARRING WITH RIGHT EYE LEUKORRHEA @ 9 o CLOCK POSITION. D/D : VITAMIN "A" DEFICIENCY. BILATERAL CATARACT. BILATERAL BUPHTHOLMOUS R/O : RETINOBLASTOMA. 2nd. Picture : SCALP LESION PYODERMA R/O : IMMUNODEFICIENCY STATE. MANAGEMENT AS PER THE DX.
Respected sir, it's corneal & not conjunctival scarring. "White reflex in pupil " is called "leucocoria" & it is not spelt "leukorrhea . What u diagnosed as rt eye leucocoria at 9' o'clock position is not leucocoria. Some times whitish non purulent mucous like discharge is deposited on conjunctiva , limbus ,& cornea, & it is this discharge that is seen in both eyes . I have seen this discharge in only 2 pts so far & it is very uncommon. The real clinical condition can be decided only by eye check up.
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A slitlamp examination would give some more conclusive insight into the corneal opacities. Also, would systemic sclerosis be a possibility??
Photosensitivity could be because of corneal oedema if that is what the opacity is due to
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