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Image Number 1636 (Hunter syndrome)

 
Morphology:
Papules,skin coloured

Diagnosis: Hunter syndrome

Site: Back

Sex: F

Age: 10

Type:

Description: Pebbly papules.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Hunter syndrome is an X-linked mucopolysaccharidosis-II. This 10-year-old girl presented with the characteristic firm flesh-colored to white pebbly papules over the inferior angles of the scapulas, pectoral areas and the shoulders. She had broad saddle nose, squint, kyphosis and claw-like fingers but with normal mentality.

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