Approach to neurocutaneous syndromes Quiz: Ace Your Exams
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A 13-month-old infant is rushed to the emergency department by his parents due to sudden, abnormal shaking. The parents describe these episodes as brief, symmetric contractions of the upper and lower extremities. There is no history of fever, recent illness, or neck rigidity. The patient’s older brother has autism. The patient's temperature is 37°C (98.6°F), pulse is 99/min, respirations are 23/min, blood pressure is 90/46 mmHg, and oxygen saturation is 97% on room air. Skin examination with a Wood’s lamp reveals hypopigmented macules on the patient’s back. Cardiopulmonary and abdominal examinations are unremarkable. During the examination, the infant experiences a brief episode of jerking followed by relaxation. Laboratory studies are unremarkable. An electroencephalogram (EEG) shows hypsarrhythmia. Which of the following findings is most likely to be seen on ocular examination?
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