Quote:
Originally posted by pulque
Could the yellow eyes be from liver damage due to Leishmanisis?
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Very good guesses that are possible with the limited info given so far...
Yes, it appears he is jaundice. It can be difficult to see in the skin tone on darkly colored patients. His eyes are indeed "yellow" in appearance and are often the easiest way to pick up on it in dark colored patients.
There are no parasitic calabar swellings present. His leg ulcers appear to be from regular insect bites, but they display poor wound healing signs with secondary infection.
I may need to reemphasize that this pt's painful episodes have been "periodically" present since very early childhood up until this time.
I will throw a bone as it is difficult to Dx with these generic conditions. I wondered if anyone wanted to ask any "history" questions.
I will start...
"Has anyone in his family or living close to him had similar symptoms?"
Answer: "Yes, he had an older brother that had yellow eyes too, was very sick from early childhood. He also had severe episodes of pain in his arms and legs just like this brother. He used to have pain episodes every time he would strenuously exert himself physically. Finally, He got sick and passed away as a young teenager. "
More questions now?
Can anyone rule out the "likelihood" for any of the already given diagnosis guesses?
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