A 14-year-old girl was referred for palatal perforation associated with regurgitation. (Cover image) Case history: A history of diminished vision and impaired hearing was reported. No history or signs of sexual abuse and no history of STD in parents. Examination: Examinations revealed perforation of about 1cm diameter involving the hard palate.
Upper incisors were peg-shaped and widely spaced. No lymphadenopathy No apparent bony abnormalities No neurological and cardiovascular involvement Normal intelligence VDRL reactive at 1:64 dilutions HIV nonreactive Slit-lamp showed dot-like corneal opacities suggesting interstitial keratitis Sensory neural deafness noticed in the audiogram Normal X-ray of the leg Normal CBC, electrocardiogram, chest X-ray, and abdomen ultrasonography Parents found to be VDRL reactive What is your diagnosis for this patient? *This patient case is from the…
