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Images of Memorable Cases: Case 20

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk. E-mail the authorsEdited By: Frederick Moody

http://rup.rice.edu/memcases-button.jpg

Case_20-pres1-1.jpg 1

Case_20-pres1-2.jpg 2

Case_20-pres1-3.jpg 3

This 60-year-old man said that his eyes turned black whenever he rubbed them (1). Examination showed bilateral palpebral hemorrhages and waxy papules on and near the eyelids (2). Touching his lower lip with a tongue blade caused immediate submucosal bleeding (3).

This patient’s “raccoon” eyes, waxy papules on and near the eyelids, and the easily inducible bleeding immediately suggested amyloid disease. Biopsy of a papule showed amyloid in the dermis and in the blood vessel walls.

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Definition of a lens

Lenses

A lens is a custom view of the content in the repository. You can think of it as a fancy kind of list that will let you see content through the eyes of organizations and people you trust.

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Lens makers point to materials (modules and collections), creating a guide that includes their own comments and descriptive tags about the content.

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Tags are descriptors added by lens makers to help label content, attaching a vocabulary that is meaningful in the context of the lens.

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