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Case of the month #1

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History:

A 7-year-old boy presented with a 3 month history of progressive propotosis of the left eye and loss of teeth. The parents also reported a recurrent, asymptomatic, scaly rash on the face and scalp since the age of 2. Previous local treatment had been unhelpful. Her past medical history was otherwise not significant.

Clinical examination:

There was prominent exophthalmus of the left eye (Fig. 1a). The scalp and forehead showed yellowish brown areas with small, slightly raised, focally scaly, confluent papules (Fig. 1b). The trunk was not affected. A skin biopsy of the scalp lesions was performed.

Fig. 1a Fig. 1b

This case has been presented by Drs. Steven Kaddu (1) and Grace Mulyowa (2)

(1) Department of Dermatology, Medical University of Graz, Austria
(2) Department of Dermatology, Mbarara University, Faculty of Medicine, Mbarara, Uganda

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