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Pigmentary Nevus Involving the Region of the Right Fifth Nerve. Presented by Dr. Herman Beerman.
H. R., a well developed Jewess aged 30, presents a bluish pigmentation of the right sclera and right portion of the face about the eye and below the ear. There is also some bluish pigmentation of the hard palate. The condition was present at birth as a bluish discoloration of the right sclera. When the patient was about 14 it spread to the periocular region. There were no associated symptoms of intracranial lesion, such as headache, visual changes or motor changes. Ophthalmoscopic examination gave unsatisfactory results without a mydriatic, but the interior of the eyes seemed extremely dark. The use of a cream to cover the defect was advised as a temporary measure, without satisfactory results.
DISCUSSION
Dr. Sigmund S. Greenbaum: What evidence is there that the disorder is a pigmentary nevus? Is