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Metabolic

 

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Amyloidosis

  • Skin papules, nodules and plaques
  • Conjunctival nodules, corneal dystrophies, glaucoma

Graves disease

  • Hyperthroidism with goiter,ophthalmopathy, and dermopathy
  • Facial and palmer flushing, nail bed anomaly
  • Lagophthalmos, exposure keratopathy, optic neurpathy

Porphyrias

  • Skin vesicles, bullae and scarring
  • Retinal edema, hemorrhages, optic atrophy

Spingolipidoses

Farber disease

  • Subcutaneous nodules
  • Usually fatal in early childhood
  • "Cherry red" macula

Gaucher disease

  • Yellow-brown pigmentation that darkens with sun exposure
  • Chalky white retinal spots

Fabry disease

  • Vascular papules in girdle region
  • White to brown whorl-shaped deposit corneal epithelium
  • Spoke-like lens deposits

Neimann-Pick disease

  • Retardation and death in childhood
  • Jaundice
  • Macular "cherry-red" spot

Vitamin A Deficiency

  • Dry wrinkled skin with fine scales
  • Conjunctival and corneal xerosis, Bittot's spot, night blindness, keratomalacia

Vitamin A toxicity

  • Anorexia, hair loss, drying and cracking of the skin and lips
  • Headache, papilledema

Vitamin C deficiency (Scurvy)

  • Hyperkeratosis, bleeding gums
  • KCS

Hypovitaminosis B2

  • Niacin deficiency (Pellagra)
  • 3 d's: dermatitis, diaarrhea, dementia

Xanthomas

Xanthalasma

  • Type IIa high cholesterol and high LDL
  • Type IIb high cholesterol and high VLDL
  • Risk even if lipids normal

Diffuse planer xanthoma

  • Look like xanthelesma, but not periorbital

Tuberous Xanthoma

  • Larger firmer subcutaneous lisions
 

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Last modified: February 04, 2000