The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case you would like to suggest for a future Case Challenge, please contact us.
A 5-year-old boy presents to his primary care provider with a "gleam" that was first noticed in his left eye in dim light 1 week earlier. His parents do not report any fever or concurrent illnesses.
The patient has taken no recent medications (except for multivitamins). His parents deny a history of allergies, and his vaccination schedule is up to date. The patient was born full term and has no siblings. The family history is significant only for maternal gestational diabetes and hypothyroidism. No parental consanguinity is noted.
Medscape © 2016 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Mauricio E. Pons, Maria Silvana Horenstein. A 'Gleam' in the Left Eye of a 5-Year-Old Boy - Medscape - Jul 22, 2016.