Wednesday, June 14, 2006

Spot diagnosis: Neurofibromatosis

One of the spot diagnosis in skin substation. As a PACES candidate, we need to demonstrate the various skin lesions (fibroma, plexiform neurofibroma, cafe-au-lait spots, axillary freckles) and also check for complications such as:

*Check hearing (acoustic neuroma)
*Visual acuity and fundi (optic glioma)
*Look for kyphoscoliosis
*Check BP for HPT in phaeochromocytoma

Multiple neurofibroma


Cafe-au-lait spots


Axillary freckles


Plexiform neurofibroma


Lisch nodules in the iris

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