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Special Feature |

Picture of the Month—Quiz Case FREE

Robert A. Avery, DO; Grant T. Liu, MD
[+] Author Affiliations

Section Editor: Samir S. Shah, MD


Arch Pediatr Adolesc Med. 2010;164(5):489. doi:10.1001/archpediatrics.2010.53-a.
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A 9-year-old boy presented for ophthalmologic evaluation. His medical history included chemotherapy for a juvenile pilocytic astrocytoma of the optic chiasm. He had also been diagnosed with attention-deficit/hyperactivity disorder.

On examination, his visual acuity when wearing glasses was 20/20 in both eyes. Results of color vision testing were normal for each eye. Slitlamp examination revealed elevated pigmented lesions on the irides of both eyes and a misshapen pupil in the right eye (Figure 1). Slitlamp examination of the patient's mother revealed similar findings (Figure 2). Most of the iris lesions in the patient and his mother were located in the inferior portion of the iris.

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Figure 1.

Misshapen pupil of right eye (white arrow) and elevated pigmented lesions of the iris (black arrow).

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Figure 2.

Elevated pigmented lesions of the iris in the mother's eyes (black arrows).

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Figures

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Figure 1.

Misshapen pupil of right eye (white arrow) and elevated pigmented lesions of the iris (black arrow).

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Figure 2.

Elevated pigmented lesions of the iris in the mother's eyes (black arrows).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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