Concluded Case

Ecchymosis

An 87 year old Women presented for evaluation of progressive ,no pruritic , waxy papules and Atraumatic ecchymosis in periorbital.

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Raccoon eyes .. Periorbital Ecchymosis It is is a condition that refers to bruises around both eyes. These bruises look like the dark patches around the eyes that are characteristic of raccoons. Raccoon eyes signal a serious condition related to a skull or brain injury. Prompt diagnosis is crucial to reduce the risk of complications. Raccoon eyes is most often caused by a basal skull fracture (BSF) Consult Neuro Surgeion.

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Raccoon eyes .. Periorbital Ecchymosis It is is a condition that refers to bruises around both eyes. These bruises look like the dark patches around the eyes that are characteristic of raccoons. Raccoon eyes signal a serious condition related to a skull or brain injury. Prompt diagnosis is crucial to reduce the risk of complications. Raccoon eyes is most often caused by a basal skull fracture (BSF) Consult Neuro Surgeion.

? SENILE PURPURA.. ? SENILE ECHYMOSIS.. ? VASCULOPATHY..

Tnx a lot sir
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Raccoon eyes (?? primary amyloidosis due to myeloma)

TreatmentSome of the common types of chemotherapy used to treat amyloidosis are cyclophosphamide (Cytoxan, Neosar) and melphalan (Alkeran) combined with dexamethasone (multiple brand names) and prednisone (multiple brand names).

Primary Amyloidosis , A plasma cells neoplasms that secrets an abnormal immunoglobulin which deposit and form a beta pleated structure that binds Congo red dye with characteristics birefringence

PINCH PURPURA AMYLOIDOSIS

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