a 47 year old male presenting with pain in the hand, diminished visual acuity and palpable tiny nodular spots on the face

Patient name :   ACACIA736PENNATA01

History uploaded by Sakar Saxena Intern PCMS in the summer of 2014

as per the patient he was apparently alright 3 months back when he developed pain in the hand and the wrist which was insidious in onset and progressive in nature.

He then complained of inability to see nearby objects and also presented with subcutaneous nodular eruptions over the malar area of the face since 8 years.

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