A 'Gleam' in the Left Eye of a 5-Year-Old Boy

Mauricio E. Pons, MD; Maria Silvana Horenstein, MD

Disclosures

July 22, 2016

Editor's Note:
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.

Background

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.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....