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Question: Can you identify this condition?

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Vol 56: NoVember • NoVembre 2010 Canadian Family Physician•Le Médecin de famille canadien

1149

Practice

Dermacase

Ophthaproblem

Can you identify this condition?

Christian Petropolis Vimal Prajapati

MD

Benjamin Barankin

MD FRCPC

A

64-year-old otherwise healthy woman pres- ents with a solitary, well-defined, slightly scaly, erythematous plaque on her lower back.

The patient notes that the plaque has been slowly enlarging over the past year.

The most likely diagnosis is

1. Psoriasis

2. Bowen disease

(squamous cell carcinoma in situ) 3. Nummular eczema

4. Extramammary Paget disease 5. Superficial basal cell carcinoma

Answer on page 1151

Can you identify this condition?

Harmeet S. Gill

MD FRCSC

Sandeep Sandhu Jason Noble

MD FRCSC

A

64-year-old woman presents with a com- plaint of abnormal eyelid closure, which has been getting worse over the past 2 years. She describes recurrent, episodic, and involuntary closure of both eyelids, resulting in discomfort, and feels unsafe undertaking tasks such as driv- ing; she is also experiencing distress about her appearance in social settings. Clinical examina- tion reveals normal visual acuity, pupil reactivity, and eye movement. A photograph of the patient during an episode is presented above.

The most likely diagnosis is

1. Keratoconjunctivitis sicca 2. Facial myokymia

3. Benign essential blepharospasm 4. Hemifacial spasm

Answer on page 1155

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