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Question: Can you identify this condition?

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Vol 56: july • juillet 2010 Canadian Family Physician•Le Médecin de famille canadien

667

Practice

Ophthaproblem Dermacase

Can you identify this condition?

Engin Senel

MD

A

31-year-old man was referred to the derma- tology clinic with pruritic subcutaneous nod- ules on his scrotum. The nodules first appeared 10 years before and slowly increased in size and

number, with gradual onset of itching.

The most likely diagnosis is 1. Angiokeratoma

2. Idiopathic scrotal calcinosis 3. Steatocystoma multiplex 4. Testicular microlithiasis 5. Leukemia cutis

Answer on page 672

Can you identify this condition?

David Ehmann Kelly D. Schweitzer

MD

Stephanie Baxter

MD

A

23-year-old woman presented with a 2-week history of pain, redness, and photophobia.

She had no past ocular history and was a previ- ous contact lens wearer. Her optometrist initially started her on a 1-week course of polymyxin B sulfate–gramicidin drops. Her symptoms only minimally resolved during this time, and they returned upon completion of the treatment. Her visual acuity and results of her eye examination were normal except for a strandlike lesion on the superficial cornea (shown above). In addition to this lesion, there were numerous smaller lesions visible on both corneas.

The most likely diagnosis is

1. Corneal ulcer or bacterial keratitis 2. Filamentary keratitis

3. Viral conjunctivitis 4. Herpetic keratitis

Answer on page 673

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