Diseases of the Eye and Skin: A Color Atlas by H. Bruce Ostler MD (Deceased), Howard I. Maibach MD, Axel W.

By H. Bruce Ostler MD (Deceased), Howard I. Maibach MD, Axel W. Hoke MD, Ivan R. Schwab MD

The authors—representing either ophthalmology and dermatology—have created the definitive reference on ocular manifestations of neighborhood and systemic pores and skin illnesses. This atlas comprises greater than 900 colour images that exhibit universal illnesses at a number of phases, not only of their such a lot dramatic shape. Readers can tune the evolution of stipulations from preliminary inflammation and blemish via eruption to the secretion of pus. A thesaurus defines the various phrases utilized by either the dermatologist and the ophthalmologist.

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Example text

6-4). Ocular Features Ocular abnormalities occur in about 30% of patients (Fig. 6-5). They are often unilateral and include microphthalmos, nystagmus, strabismus, myopia, focal conjunctival pigmentation, keratitis, cataracts, uveitis, retinal abnormalities, and blindness. The retinal abnormalities include arteriovenous (A-V) aneurysms, neovascularization, hemorrhage, exudative chorioretinitis with retinal detachment, retinal dysplasia, increased retinal pigmentation, and retrolental masses simulating retrolental fibroplasia.

Heterochromia irides also occurs. Waardenburg syndrome, Klein–Waardenburg syndrome, and BADS syndrome have many features of piebaldism. 41 Waardenburg syndrome Types I and II In Waardenburg syndrome, the patient has a white forelock and congenital amelanotic skin areas of the forehead, which often contain normally colored or hyperpigmented macules. The anterior chest, abdomen, and extremities may also have areas of hypopigmentation. The lesions do not change over time, but premature graying of other areas of the scalp, brows, and lashes may occur.

Clinical Manifestations In tyrosinase-negative OCA the skin is pink, the hair is white, and the irides are translucent, giving a prominent red reflex. In tyrosinase-positive OCA, the skin, hair, and eyes develop some pigment as the patient ages. Light tanning may occur, the hair becomes flaxen-yellow or red; in blacks, the skin becomes yellowish-brown with dark freckles sometimes developing in sun-exposed areas. Ocular Features Photophobia, decreased vision, and horizontal or rotary nystagmus, sometimes with head-nodding, are found in both forms of OCA but are more severe in tyrosinase-negative OCA.

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